Teresa E. Jacobs, MD, PS

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

MD00029806 Issued in WA

Legal business name

TERESA E. JACOBS, MD, PS

Practice address

1380 112TH Ave NE Ste 307
Bellevue, WA 98004-3759

Phone

(425) 278-2250

Fax

(425) 562-5885

NPI assigned

Oct 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa Ellen Jacobs, MD

Title

President

Phone

(425) 278-2250

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1114106945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5593",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155500",
            "telephone_number": "425-278-2250",
            "fax_number": "425-562-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 112TH AVE NE STE 307",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043759",
            "telephone_number": "425-278-2250",
            "fax_number": "425-562-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA E. JACOBS, MD, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-278-2250",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "WA",
            "license": "MD00029806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE #",
            "identifier": "0538JA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID #",
            "identifier": "AB34037",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1117050",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tensegrity
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• Irish Terado
• Holly Ann Teran
• Wesley L Terasaki, MD
• Kimberly Ann Terrill
• Terry S Oneil PHD PS
• Thea Terry, LMP
• Dagmawi Tewdros Teshome
• Robel Teshome

• Sleep Medicine (Internal Medicine) Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Sleep Medicine (Internal Medicine) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.