Active NPI
Maegan Elizabeth Jacobs, FNP-C
- Family Nurse Practitioner
- Florence, AL
National Provider Identifier
1215529136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3-000492
- Practice address
- 421 W College St
Florence, AL 35630-5520 - Phone
- (256) 764-9522
- Fax
- (256) 764-1139
- NPI assigned
- Feb 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3-000492 | AL | Primary |
Addresses
Primary practice location
421 W College St
Florence, AL 35630-5520
Mailing address
117 Glendale Rd
Loretto, TN 38469-2813
Phone (931) 242-6797
Other practice location 1
970 Cox Creek Pkwy
Florence, AL 35633-1631
Phone (256) 760-1655
Other practice location 2
1605 Mockingbird Ct
Florence, AL 35630-1553
Phone (256) 764-9522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infants and Childrens Clinic PC | Past | Accepting new patients |
Interoperability endpoints
- maegan.jacobs.p1@direct.iccpeds.nextgenshare.com
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Florence, AL
- NPI 1689685315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1215529136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 GLENDALE RD",
"city": "LORETTO",
"state": "TN",
"postal_code": "384692813",
"telephone_number": "931-242-6797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 W COLLEGE ST",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356305520",
"telephone_number": "256-764-9522",
"fax_number": "256-764-1139"
}
],
"practiceLocations": [
{
"address_1": "970 Cox Creek Pkwy",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "AL",
"postal_code": "356331631",
"country_code": "US",
"telephone_number": "256-760-1655",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1605 Mockingbird Ct",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "AL",
"postal_code": "356301553",
"country_code": "US",
"telephone_number": "256-764-9522",
"fax_number": "256-764-1139",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOBS",
"first_name": "MAEGAN",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-11",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "3-000492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.