Marianne D Jacobson, P.C.D C.L.E G.S.C

Primary specialty

DoulaTaxonomy code 374J00000X

License

601364515 Issued in WA

Practice address

23622 165TH Ave SE
Monroe, WA 98272-9102

Phone

(206) 999-6362

NPI assigned

Jul 31, 2012

Sex

Female

Sole proprietor

Yes

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": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1144576802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23622 165TH AVE SE",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982729102",
            "telephone_number": "206-999-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23622 165TH AVE SE",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982729102",
            "telephone_number": "206-999-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "MARIANNE",
        "middle_name": "D",
        "credential": "P.C.D  C.L.E  G.S.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "WA",
            "license": "601364515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryann Ivons, N.D.
• Peggy Ann Jackson-Oman
• Calvin Jackson
• Carol Joy Jacob, MA, LMHC
• Christina Jacobs, MS
• Sulayman Jagne
• Ahmad Jakish, DVM, CCRP
• Janaki Rose Healing Arts, Inc.
• Nicole Christine Jauregui
• Quinn Niomi Jay, CPSS

• Doula in Monroe, WA
• Providers in Monroe, WA by specialty
• Doula in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.