Tomasita Rivera Jacubowitz, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

600034 Issued in NC

Practice address

2500 Summit Ave
Greensboro, NC 27405-4522

Phone

(336) 621-2500

Fax

(336) 478-2541

NPI assigned

Oct 18, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1255412946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 SUMMIT AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274054522",
            "telephone_number": "336-621-2500",
            "fax_number": "336-478-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 SUMMIT AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274054522",
            "telephone_number": "336-621-2500",
            "fax_number": "336-478-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACUBOWITZ",
        "first_name": "TOMASITA",
        "middle_name": "RIVERA",
        "name_prefix": "Miss",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "600034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004004",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Megan Jacobs, FNP-C
• Daniel Patrick Jacobs, MD
• Kristen Taylor Jacobsen, OD
• Anyela Jacome Ceron
• Sam Jacubowitz, MD
• Jade Comprehensive Habilitative Services LLC
• Beth Harris Jaekle, RN
• Adam R. Jaffe, D.O.
• Tariqaziz Bashir Jah, DDS
• George Jahnes, LCSW-A

• Nurse Practitioner in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.