Regina Lynne Jacobs, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

0402205621 Issued in VA

Practice address

9300 Dewitt Loop RM O1.301B
Ft Belvoir, VA 22060-5285

Phone

(571) 263-6677

NPI assigned

Feb 11, 2022

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

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": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1235883976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12920 LEATHERWOOD LN",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928301",
            "telephone_number": "571-263-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 DEWITT LOOP RM O1.301B",
            "city": "FT BELVOIR",
            "state": "VA",
            "postal_code": "220605285",
            "telephone_number": "571-263-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "REGINA",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "VA",
            "license": "0402205621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefan Inouye
• Macon Loshawn Irick, LCSW
• Georgina Irondi, LCSW-C
• Leticia Salo Isidro-Clancy, MA, LPC-MFT, LADC
• Carol Bowser Jackson, RN
• John M Jacocks, M.D.
• Ashley Alexandra Jaeger, M.D.
• Bonnie Freid James, PA-C
• Tamara J James, LCSW
• Taylor Marie James, M.D.

• Dental Hygienist in Ft Belvoir, VA
• Providers in Ft Belvoir, VA by specialty
• Dental Hygienist in Virginia

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

Verify at the official NPI Registry.