Heather Jacobs, MPA, NBC-HWC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

A-3105172 Issued in OR

Practice address

1919 NW Lovejoy St
Portland, OR 97209-1503

Phone

(503) 415-4753

NPI assigned

Apr 12, 2018

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": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1134626328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 SE LOEFFELMAN RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227015",
            "telephone_number": "831-239-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 NW LOVEJOY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091503",
            "telephone_number": "503-415-4753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3321 SE Loeffelman Rd",
            "address_purpose": "LOCATION",
            "city": "Milwaukie",
            "state": "OR",
            "postal_code": "972227015",
            "country_code": "US",
            "telephone_number": "831-239-8017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "HEATHER",
        "credential": "MPA, NBC-HWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "OR",
            "license": "A-3105172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline N Jacobs, PHD, APRN
• Chad Christopher Jacobs, MED, LPC
• Christopher John Jacobs, B.S
• Emily Jacobs
• Gabrielle Jacobs
• Heather Anne Jacobs, CNM, WHNP
• Isabel Anne Jacobs
• James E Jacobs, MD, MPH
• Jessica Leigh Jacobs, EFDA
• Kenneth Allan Jacobs, M.D.

• Health & Wellness Coach in Portland, OR
• Providers in Portland, OR by specialty
• Health & Wellness Coach in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.