Susan E. Jacobson, NP

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

001500246 Issued in VA

Practice address

3020 Javier Rd
Inova Behavioral Health
Fairfax, VA 22031-4609

Phone

(703) 289-7585

Fax

(703) 289-4612

NPI assigned

Mar 5, 2007

Last updated

Mar 9, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Susan E. Loftus Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1063541977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 EVERGREEN DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220321018",
            "telephone_number": "703-289-7560",
            "fax_number": "703-289-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 JAVIER RD",
            "address_2": "INOVA BEHAVIORAL HEALTH",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314609",
            "telephone_number": "703-289-7585",
            "fax_number": "703-289-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "SUSAN",
        "middle_name": "E.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024167284",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "VA",
            "license": "0015000246",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "VA",
            "license": "001500246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "LOFTUS",
            "middle_name": "E.",
            "credential": "RN, CS, NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Allyson Jacobi
• David Alan Jacobs, LPC
• Deana Jacobs, LCPC, CCTP
• Nicole Jacobs, PT, DPT
• Jacqueline A Jacobson, L.P.C.
• Suzyn Jacobson, LCSW
• Sylvia Jacoub, PSYD
• Michelle Marie Jacques, RN-BC,AGPCNP-BC,CMT
• Jae Kim, MD PLC (Jae Kim, MD Facial Plastic Surgery)
• Maimunah Shah Jafer, CCC-SLP

• Adult Psychiatric/Mental Health Registered Nurse in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.