Jenna Jacobson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 60438775 Issued in WA

Practice address

1636 Fruitland Dr
Bellingham, WA 98226-1208

Phone

(936) 522-7811

NPI assigned

Dec 3, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1134550080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 FRUITLAND DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982261228",
            "telephone_number": "936-522-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 FRUITLAND DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982261208",
            "telephone_number": "936-522-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "JENNA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-03",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "0007055",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 60438775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Mae Jackson, CDPT
• Allison Joy Jacobs, DDS
• Diana P. Jacobs, PHD
• Kellie L. Jacobs, MD
• Pamela S Jacobs, PHD
• Leslie Jacobson, LMFT
• Margaret A Jacobson, MD
• Matthew Jacobson
• Aysha Jadran
• Roberta Susan Jaffe, ACSW, BCD, LICSW

• Chiropractor in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.