Beth Louise Jaco, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

197 Issued in AZ

Practice address

2680 S. Val Vista Drive
Suite 167, BLD 12
Gilbert, AZ 85295

Phone

(480) 857-0222

Fax

(480) 857-0200

NPI assigned

Sep 26, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Ms. Beth Louise Jaco Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11585/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Step by Step Pediatrics

  • Pediatrics Physician
  • Chandler, AZ
  • NPI 1467623058
  NPD (past)

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1205086261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 S. VAL VISTA DRIVE",
            "address_2": "SUITE 167, BLD 12",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85295",
            "telephone_number": "480-857-0222",
            "fax_number": "480-857-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 S. VAL VISTA DRIVE",
            "address_2": "SUITE 167, BLD 12",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85295",
            "telephone_number": "480-857-0222",
            "fax_number": "480-857-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACO",
        "first_name": "BETH",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "AZ",
            "license": "RN073431",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "JACO",
            "middle_name": "LOUISE",
            "prefix": "MS.",
            "credential": "CPNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Macheri Jackson
• Mary Jackson, LPC
• Sally Fayrweather Jackson, HRN
• Starnique Antrenae Jackson
• Tahji Jackson
• Jacob Zuniga,DDS,LLC
• Allison Jacobs
• Julie Lynne Jacobs, MA LPC
• Katie Mae Jacobs, PA
• Martha Walton Jacobs, M.A.

• Pediatric Nurse Practitioner in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Pediatric Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.