Elizabeth Lynda Jacobs, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11780315-4405 Issued in UT

Practice address

2319 S Hannibal St
Salt Lake City, UT 84106-4105

Phone

(208) 914-4446

NPI assigned

May 17, 2022

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

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Medical Center Hospital, Murray, UT, CCN 460010

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ejacobs448744@direct.med.utah.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Murray, UT
  • NPI 1629260880

  Transplant Surgery

  Medicare reassignment Care Compare group NPD
• Daniel R Cottam MD PC

  • Surgery Physician
  • Salt Lake City, UT
  • NPI 1871030742
  Medicare reassignment NPD
• Mayrx

  • Family Medicine Physician
  • Asheville, NC
  • NPI 1255039897

  UT

  Medicare reassignment NPD
• Instamobile Care LLC

  • Urgent Care Clinic/Center
  • South Jordan, UT
  • NPI 1407633639
  Medicare reassignment
• Clifton R Uckerman LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1326799941
  NPD
• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Salt Lake City, UT
  • NPI 1235363094
  NPD
• Ihc Health Services, Inc.

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD
• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Orem, UT
  • NPI 1588601124
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services, Inc.

  • General Acute Care Hospital
  • Murray, UT
  • NPI 1043220650
  Care Compare affiliation

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1083351498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 S HANNIBAL ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841064105",
            "telephone_number": "208-914-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 S HANNIBAL ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841064105",
            "telephone_number": "208-914-4446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 S 2000 E",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841125880",
            "country_code": "US",
            "telephone_number": "801-581-3414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1046 E 100 S",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841021520",
            "country_code": "US",
            "telephone_number": "801-746-2886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "ELIZABETH",
        "middle_name": "LYNDA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "11780315-4405",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "11780315-3102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor S. Jackson, DO
• William Daniel Jackson, M.D.
• Devon Jacob
• Sharlene Malani Jacob
• Alana Jacobs-Davis, PH.D. MSN
• Evan J Jacobs, MD
• Jason Scott Jacobs
• Jeniel Lovell Jacobs, DNP
• Julia Jacobs, PSY.D.
• Allison Jacobsen

• Family Nurse Practitioner in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.