Tiffanie A. Jacobson, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164004129 Issued in IL

Practice address

3150 W Higgins Rd
Hoffman Estates, IL 60169-7237

Phone

(847) 310-0074

Fax

(847) 310-1201

NPI assigned

Jun 10, 2009

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

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": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1265668792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5414 OAK PARK RD",
            "city": "OAKWOOD HILLS",
            "state": "IL",
            "postal_code": "600131010",
            "telephone_number": "847-337-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 W HIGGINS RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601697237",
            "telephone_number": "847-310-0074",
            "fax_number": "847-310-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "TIFFANIE",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164004129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ishwar K. Patel, M.D., S.C.
• Melissa Ivins-Lukse, PHD
• Reena Jabamoni, MD
• Mercedes Isabel Jacks, PA-C
• Elizabeth Lauren Jacobson
• Jeffrey J. Jagmin, M.D.
• Rachel Jakubowski, PA-C
• James W. Sislow D.D.S. LTD.
• Tracy James
• Januario P. Estrada, M.D., S.C.

• Registered Dietitian in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.