Melissa Marie Jacobs, R.N.

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

88620-030 Issued in WI

Practice address

N 1975 County Highway N
Columbus, WI 53925-9766

Phone

(608) 692-8466

NPI assigned

May 3, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1316169998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N 1975 COUNTY HIGHWAY N",
            "city": "COLUMBUS",
            "state": "WI",
            "postal_code": "539259766",
            "telephone_number": "608-692-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N 1975 COUNTY HIGHWAY N",
            "city": "COLUMBUS",
            "state": "WI",
            "postal_code": "539259766",
            "telephone_number": "608-692-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "88620-030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40003300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Katherine Hinkle, PHARMD
• Emma Hubbard
• Heidi Hughes, PA-C
• Hannah Rebekah Hurst, DO
• Tiana M Imhoff, PA-C
• Judith C. Mann RN Independent Nurse LLC
• Benjamin Kannenberg, MD
• Nicole Kessinger
• Nazi S Khan, MD
• Joel David Kirchberg, D.C.

• Home Health Registered Nurse in Columbus, WI
• Providers in Columbus, WI by specialty
• Home Health Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.