Karen Ann Jacobs, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000001 Issued in MI

Practice address

5344 Plainfield Ave NE
Suite 4
Grand Rapids, MI 49525-1009

Phone

(616) 365-1979

Fax

(616) 365-1964

NPI assigned

Dec 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1093878480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5344 PLAINFIELD AVE NE",
            "address_2": "SUITE 4",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251009",
            "telephone_number": "616-365-1979",
            "fax_number": "616-365-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5344 PLAINFIELD AVE NE",
            "address_2": "SUITE 4",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251009",
            "telephone_number": "616-365-1979",
            "fax_number": "616-365-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "903499018",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804687934",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "640 D1 2604",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Elizabeth Jacobs, LMSW-C
• Christina Veronica Jacobs, MD
• Doris A Jacobs, PA-C
• Jaelyn Anna-Louise Jacobs
• Jennifer Renee Jacobs
• Mackenzie Taylor Jacobs
• Melody A Jacobs
• Natalie Jacobs, LPC, NCC, R-DMT
• Sophia Noel Jacobs
• Sarah Jacobsma

• Audiologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.