Terry Paulsen Jakovac, CRNP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

TP001134G Issued in PA

Practice address

451 Hyde Park Rd
Hyde Park Plaza
Leechburg, PA 15656-9417

Phone

(724) 282-3756

Fax

(724) 282-8995

NPI assigned

Apr 13, 2006

Last updated

Dec 20, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1043274392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 HYDE PARK RD",
            "address_2": "HYDE PARK PLAZA",
            "city": "LEECHBURG",
            "state": "PA",
            "postal_code": "156569417",
            "telephone_number": "724-282-3756",
            "fax_number": "724-282-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 HYDE PARK RD",
            "address_2": "HYDE PARK PLAZA",
            "city": "LEECHBURG",
            "state": "PA",
            "postal_code": "156569417",
            "telephone_number": "724-282-3756",
            "fax_number": "724-282-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKOVAC",
        "first_name": "TERRY",
        "middle_name": "PAULSEN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN224526L",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "PA",
            "license": "TP001134G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1991407",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "JA877419",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Hawkins
• Heights Prescription Pharmacy, Inc (Leechburg Health Mart Pharmacy)
• Daniel Nakoa Holland, MS LPC NCC
• Megan Holland, M.ED. NCC LPC LBS
• James A Humphrey, D.O.
• Mary Jessell, CRNP
• Angela Jordan, MA, CCC-SLP
• Katie Marie Kelley
• Michaela Kennedy, LPC, HHP
• Kenneth E. Mikolas DDS, LLC

• Obstetrics & Gynecology Nurse Practitioner in Leechburg, PA
• Providers in Leechburg, PA by specialty
• Obstetrics & Gynecology Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.

Verify at the official NPI Registry.