AMANDA ANN JACOBS (NPI# 1952669467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952669467 |
| Entity Type | Individual |
| Full Name | AMANDA ANN JACOBS |
| Credential | C.R.N.A. |
| Practice Address |
1101 W Liberty St Farmington MO 63640-1921 |
| Practice Telephone | 5737566451 |
| Mailing Telephone | 5737566451 |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2020-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 2007021239 | MO | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 2012014380 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003261561 | Amanda Jacobs | Licensed Practical Nurse | 1161 Cain Rd, Youngstown, NY 14174-9768 | 2016-05-03 |
| 1760946289 | Amanda Jacobs | Social Worker | 1859 S Topaz Way Ste 100, Meridian, ID 83642-4401 | 2019-01-29 |
| 1407238090 | Amanda Jacobs | Dentist | 411 Willis St, Taylorsville, MS 39168-4550 | 2015-06-19 |
| 1558619940 | Amanda Kristen Jacobs | Pharmacist | 2707 Celanese Rd, Rock Hill, SC 29732-9406 | 2012-08-16 |
| 1164713418 | Amanda Lea Jacobs | Massage Therapist | 3209 E 57th Ave, Spokane, WA 99223-7040 | 2011-04-20 |
| 1740599646 | Amanda J Jacobs | Physician Assistant | 980 S Saint Augustine St, Pulaski, WI 54162-9453 | 2010-09-27 |
| 1427231356 | Amanda Howard Jacobs | Optometrist | 1201 11th Ave S, Suite 501, Birmingham, AL 35205-3410 | 2007-12-13 |
| 1003016411 | Amanda Mcnear Jacobs | Pediatrics | 111 E 210th St, Department of Pediatrics, Bronx, NY 10467-2401 | 2007-07-23 |
| Street Address |
1101 W LIBERTY ST |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-1921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912970880 | Vladimir Melyakov | Internal Medicine | 1101 W Liberty St, Farmington, MO 63640-1921 | 2006-02-09 |
| 1891303053 | Parkland Health Center | Clinical Medical Laboratory | 1101 W Liberty St, Farmington, MO 63640-1921 | 2020-07-14 |
| 1902430481 | Nrg-parkland LLC | Radiology | 1101 W Liberty St, Farmington, MO 63640-1921 | 2020-02-24 |
| 1700342847 | Alyssa Michelle Bocci | Physician Assistant | 1101 W Liberty St, Farmington, MO 63640-1921 | 2019-02-13 |
| 1811414626 | Nawaf Al-hashemi | Internal Medicine | 1101 W Liberty St, Farmington, MO 63640-1921 | 2017-08-23 |
| 1063959104 | Southern Missouri Infectious Disease Specialists LLC | Internal Medicine | 1101 W Liberty St, Farmington, MO 63640 | 2017-01-27 |
| 1265981856 | Matthew Akers | Nurse Practitioner | 1101 W Liberty St, Farmington, MO 63640-1921 | 2016-09-24 |
| 1780037630 | Meredith Politte | Nurse Practitioner | 1101 W Liberty St, Farmington, MO 63640-1921 | 2016-07-15 |
| 1801252812 | Alyssa Trautman | Dietitian, Registered | 1101 W Liberty St, Farmington, MO 63640-1921 | 2016-01-06 |
| 1770957201 | Mid-america Clinical Pathology, LLC | Pathology | 1101 W Liberty St, Farmington, MO 63640-1921 | 2015-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104336445 | Blue Sky Anesthesia Associates Pllc | Nurse Anesthetist, Certified Registered | 109 Chestnut Hill Rd, Farmington, NH 03835-3914 | 2017-09-30 |
| 1861878522 | Ryan Ellis | Nurse Anesthetist, Certified Registered | 4511 Barcelona Cir, Farmington, NM 87401-2892 | 2015-08-05 |
| 1750317467 | Jaqueline R Stefek | Nurse Anesthetist, Certified Registered | 3704 Fairfax Ave, Farmington, NM 87402-4578 | 2006-06-24 |
| 1386685337 | Matthew Stauffer Saylor | Nurse Anesthetist, Certified Registered | 697 Shire Ln, Farmington, UT 84025-4717 | 2006-06-09 |
| 1063414290 | Barbara S Kamps | Nurse Anesthetist, Certified Registered | 950 W Pinon, Farmington, NM 87401 | 2005-06-01 |
| 1457354359 | Werner Henry Beckerhoff Jr. | Nurse Anesthetist, Certified Registered | 5410 Colibri Pl, Farmington, NM 87402-0983 | 2005-05-24 |
| 1679107007 | Darcy Ernat | Nurse Anesthetist, Certified Registered | 801 W Maple St, Farmington, NM 87401-5630 | 2020-02-25 |
| 1790320307 | Benton James Lunt | Nurse Anesthetist, Certified Registered | 801 W Maple St, Farmington, NM 87401-5630 | 2019-11-07 |
| 1174088280 | Laura Chase | Nurse Anesthetist, Certified Registered | 801 W Maple St, Farmington, NM 87401-5630 | 2019-02-02 |
| 1477036572 | Lynndi Wilson | Nurse Anesthetist, Certified Registered | 801 W Maple St, Farmington, NM 87401-5630 | 2018-09-13 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.