Sheree Jacobs

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

5457 Twin Knolls Road
Suite 300-N29
Windsor Mill, MD 21244-2124

Phone

(410) 499-5857

NPI assigned

Jun 15, 2021

Last updated

Jun 15, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1174191357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BALSET CT",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212441431",
            "telephone_number": "410-499-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5457 TWIN KNOLLS ROAD",
            "address_2": "SUITE 300-N29",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442124",
            "telephone_number": "410-499-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "SHEREE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Sjacobs@divineschoolofphlebotomy.org",
            "affiliation": "N",
            "address_1": "5457 Twin Knolls Road",
            "address_2": "Suite 300-n29",
            "city": "Windsor Mill",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212442124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Health Educator in Windsor Mill, MD
• Providers in Windsor Mill, MD by specialty
• Health Educator in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.