Active NPI
Connie Sue Jacobs, M.S. ED.
- Health Educator
- Kiowa, KS
National Provider Identifier
1013215953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 606 S 9TH St
Kiowa, KS 67070-1911 - Phone
- (620) 825-4228
- NPI assigned
- Mar 1, 2011
- Last updated
- Mar 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | NU | Primary |
Addresses
Primary practice location
606 S 9TH St
Kiowa, KS 67070-1911
Mailing address
606 S 9TH St
Kiowa, KS 67070-1911
Phone (620) 825-4228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298937600000",
"number": "1013215953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 S 9TH ST",
"city": "KIOWA",
"state": "KS",
"postal_code": "670701911",
"telephone_number": "620-825-4228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 S 9TH ST",
"city": "KIOWA",
"state": "KS",
"postal_code": "670701911",
"telephone_number": "620-825-4228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "CONNIE",
"middle_name": "SUE",
"credential": "M.S. ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-01",
"last_updated": "2011-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kiowa, KS
- Gerald E Darger, CRNA
- Kami Elizabeth Davis, PHARM.D
- Freeman Pharmacy LLC
- Freeman Pharmacy LLC (Kiowa Prescriptions Plus LTC)
- J C H Consulting Inc (Kiowas Prescriptions Plus)
- Kiowa District Hospital (Kiowa Hospital District Man4)
- Kiowa District Hospital (Kiowa District Hospital-Clinic)
- Kiowa District Hospital
- Kiowa District Hospital
- Kiowa District Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.