Active NPI
Gina Jacobson, APRN
- Family Nurse Practitioner
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1147720
- Practice address
- 1000 Saint Luke Dr
Nashville, TN 37205-3588 - Phone
- (615) 390-6775
- NPI assigned
- Jul 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 33709 | TN | |
| Family Nurse Practitioner | 363LF0000X | 1147720 | TX | Primary |
Addresses
Primary practice location
1000 Saint Luke Dr
Nashville, TN 37205-3588
Mailing address
1221 Division St Apt 510
Nashville, TN 37203-4444
Phone (859) 913-0850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33709 | TN | MD | Family Nurse Practitioner |
| 1147720 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pai Participant 9 PA | Current | Accepting new patients | |
| Aco Jason Martin Medical Consulting | Past | Accepting new patients |
Locations
5301 Duval Rd
Austin, TX 78727
Phone (512) 326-1141
1373 N Avenue C
Elgin, TX 78621
Phone (512) 285-2457
7514 Kingsley St
Houston, TX 77087
Phone (713) 644-8393
4200 Shepherd Ln
Mesquite, TX 75180
Phone (972) 286-0335
521 S Heatherwilde Blvd
Pflugerville, TX 78660
Phone (512) 251-9978
2620 Communications Pkwy
Plano, TX 75093
Phone (214) 501-4672
7146 Baker Blvd
Richland Hills, TX 76118
Phone (817) 589-1734
Organizations & group practices 2
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Elgin, TX
- NPI 1679135420
-
- Internal Medicine Physician
- Austin, TX
- NPI 1881578961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1245918028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 DIVISION ST APT 510",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372034444",
"telephone_number": "859-913-0850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 SAINT LUKE DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372053588",
"telephone_number": "615-390-6775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "GINA",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-11",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "33709",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1147720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.