Individual provider Active NPI

Barbara Jacoboski, CSCD CCC SLP

  • Specialist
  • Scottsdale, AZ
National Provider Identifier
1285754127
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
SLP 1604 Issued in AZ
Practice address
32531 N Scottsdale Rd
Ste 105-162
Scottsdale, AZ 85262-1519
Phone
(480) 488-3946
NPI assigned
Mar 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X SLP 1604 AZ Primary

Addresses

Primary practice location

32531 N Scottsdale Rd
Ste 105-162
Scottsdale, AZ 85262-1519

Mailing address

969 North Blackbird Street
Gilbert, AZ 85233
Phone (480) 577-4546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SLP 1604AZMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Achievement Home Healthcare, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1285754127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 NORTH BLACKBIRD STREET",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85233",
            "telephone_number": "480-577-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32531 N SCOTTSDALE RD",
            "address_2": "STE 105-162",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852621519",
            "telephone_number": "480-488-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBOSKI",
        "first_name": "BARBARA",
        "name_prefix": "Dr.",
        "credential": "CSCD  CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-31",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "SLP 1604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.