Kristina Kahle Jacobsen, R.T.(R)

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

564028 Issued in AZ

Practice address

350 W Thomas Rd
Phoenix, AZ 85013-4409

Phone

(602) 406-6700

NPI assigned

Mar 29, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1134624133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 W 9TH PL N",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852014261",
            "telephone_number": "480-235-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134409",
            "telephone_number": "602-406-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSEN",
        "first_name": "KRISTINA",
        "middle_name": "KAHLE",
        "credential": "R.T.(R)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "AZ",
            "license": "564028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Jacobsen, RPH
• Eric Edwin Jacobsen, DDS
• Jeffrey R Jacobsen, MD
• Jiori Jacobsen, FNP-C
• Khira R Jacobsen
• Rosa E Jacobsen, PMHNP
• William M Jacobsen, MD
• Jacobson Chiropractic PLLC
• Albert Dale Jacobson, M.D.
• Amy Michelle Jacobson, FNP

• Radiologic Technologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Radiologic Technologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.