Jody Adele Jacobson, JODY JACOBSON, NNP

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

NP10026 Issued in CO

Practice address

13123 E 16TH Ave
Aurora, CO 80045-7106

Phone

(720) 777-6857

Fax

(720) 777-7207

NPI assigned

Jun 5, 2009

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

Other names 1

• Jody Adele Derrington Former name

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": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244160000000",
    "number": "1154557056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 APPLE CT",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800273258",
            "telephone_number": "720-890-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13123 E 16TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457106",
            "telephone_number": "720-777-6857",
            "fax_number": "720-777-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "JODY",
        "middle_name": "ADELE",
        "credential": "JODY JACOBSON, NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "CO",
            "license": "NP10026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "DERRINGTON",
            "middle_name": "ADELE",
            "credential": "JODY DERRINGTON, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mollie Anne Jacobs, M.D.
• Sarah Jacobs
• Amber D'Arcy Jacobsen
• Jennifer Jacobsen, LPC
• Roni Marie Jacobsen, MD
• Mona Pearl Jacobson, NP
• Ellie Jo Jacoby, MGC
• Wisler Jacquecin
• Hannah Jaeger, PTA
• Mark W. Jaehning, O.D.

• Neonatal Nurse Practitioner in Aurora, CO
• Providers in Aurora, CO by specialty
• Neonatal Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.