ALICE M JACOBSON (NPI# 1952949240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952949240 |
Entity Type | Individual |
Full Name | ALICE M JACOBSON |
Credential | PA-C |
Practice Address |
214 E 23rd St Cheyenne WY 82001-3748 |
Mailing Address |
306 E 18th St Apt 2 Cheyenne WY 82001-4663 |
Practice Telephone | 3076342273 |
Enumeration Date | 2019-12-17 |
Last Update Date | 2019-12-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PT852 | WY | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265577464 | Alice Marie Jacobson | Social Worker | 26 Gramercy Park South, Suite 1g, New York, NY 10003 | 2007-02-21 |
1558814483 | Alice Kelley Jacobson | Physician Assistant | 244 Western Ave Ste 100, South Portland, ME 04106 | 2016-07-27 |
Street Address |
214 E 23RD ST |
City | CHEYENNE |
State | WY |
Zip Code | 82001-3748 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578556445 | Mindy Dawn Rasmussen | Pharmacist | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2005-08-25 |
1174124440 | Rachel Lynn Tenpenny-chigas | Dietitian, Registered | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2020-11-03 |
1033724661 | Jannene Sneddon Sebesta | Nurse Practitioner | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2020-09-10 |
1457962672 | Liya Rodovskaya | Nurse Practitioner | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2020-08-11 |
1235765363 | Kendra Dawn Rono | Registered Nurse | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2020-03-20 |
1952936932 | Marianne Denton | Registered Nurse | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2020-03-10 |
1306483300 | Sheena Lee Pacheco | Nurse Practitioner | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2019-12-09 |
1356985600 | Summit Hospitalist Group LLC | Hospitalist | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2019-10-30 |
1386286433 | Andrea Williams | Physical Therapist | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2019-10-10 |
1336797166 | Krisinda Michelle White | Nurse Practitioner | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2019-08-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
1255897385 | Humble Horizon Home Health LLC | Case Management | 6066 Wilderness Trl, Cheyenne, WY 82001 | 2019-02-13 |
1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
1942729066 | Brittany Heinzman | Community Health Worker | 2000 Westland Road Suite C, Cheyenne, WY 82001 | 2017-09-11 |
1144768086 | Cheyenne Regional Home Home Care Services | Case Management | 214 E 23rd Street, Cheyenne, WY 82001 | 2017-02-10 |
1104360726 | Jennifer Pannebaker | Behavioral Analyst | 813 Randall Ave, Cheyenne, WY 82001 | 2016-12-16 |
1053854703 | Raven Coward Long | Social Worker | 821 East Pershing Blvd, Cheyenne, WY 82001 | 2016-11-29 |
Find all providers in zip 82001 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821595224 | Abby Rogers | Physician Assistant | 1331 Prairie Ave Ste 2, Cheyenne, WY 82009-4867 | 2018-04-11 |
1336657527 | Lauren Andrews | Physician Assistant | 4140a Laramie St, Cheyenne, WY 82001-1969 | 2018-01-22 |
1578993671 | Jessica Henry | Physician Assistant | 4140 Laramie St, Cheyenne, WY 82001-1969 | 2013-11-26 |
1982942132 | Molly E Means | Physician Assistant | 7124 Commons Dr C, Cheyenne, WY 82009-2620 | 2013-01-23 |
1710279757 | Michael Jason Sprosty | Physician Assistant | 4600 Powderhouse Rd, Cheyenne, WY 82009-7324 | 2011-05-10 |
1053554402 | Paul J Jacquay | Physician Assistant | 2508 E Fox Farm Rd Ste 1a, Cheyenne, WY 82007-2559 | 2009-04-15 |
1073795365 | Lori Ann Meadors | Physician Assistant | 2301 House Ave Ste 201, Cheyenne, WY 82001-3177 | 2007-11-29 |
1114007028 | Michael D Scott | Physician Assistant | 4136b Laramie Street, Cheyenne, WY 82001-1969 | 2006-10-16 |
1982713764 | Julie C Whitesell | Physician Assistant | 7124 Commons Dr Unit C, Cheyenne, WY 82009-2620 | 2006-08-29 |
1720003189 | Lynda Dianne Bentley | Physician Assistant | 101 Fk Buster Ave, Cheyenne, OK 73628 | 2006-07-13 |
Find all providers in CHEYENNE |
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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.