Rebecca Jacques, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9345557 Issued in FL

Practice address

5783 NW Belwood Cir
Port St Lucie, FL 34986-4162

Phone

(772) 361-3854

NPI assigned

Jan 14, 2016

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Precise Care Services

  • In Home Supportive Care Agency
  • Port St Lucie, FL
  • NPI 1144687518
  NPD (past) Authorized official

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1235595695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5783 NW BELWOOD CIR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349864162",
            "telephone_number": "772-361-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5783 NW BELWOOD CIR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349864162",
            "telephone_number": "772-361-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9345557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008309700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob a Samander MD PA
• Nadera Jacob, RPH
• Vilna D Jacob
• Brian Bernard Jacobus, DDS, MS, PA
• Nancy Jacques
• Jaime Toro MD PA
• Jaisanvi PA
• Sediah Jaleiba, PTA,CLT
• Jamaica Shores Assisted Living Facility
• James L. Autin, M.D.,P.a.

• Registered Nurse in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.