Jacob Samuel Valentin, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

33721 Issued in PR

Practice address

3082 Brickhouse CT
Virginia Beach, VA 23452-6859

Phone

(757) 302-5663

Fax

(757) 302-5458

NPI assigned

Sep 30, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Phlebo Lab Professional Services

  • Phlebotomy Technician
  • Virginia Beach, VA
  • NPI 1225757727
  NPD Authorized official

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1316619117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3082 BRICKHOUSE CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234526859",
            "telephone_number": "757-302-5663",
            "fax_number": "757-302-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3082 BRICKHOUSE CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234526859",
            "telephone_number": "757-302-5663",
            "fax_number": "757-302-5458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Kingsley Lane",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "23505",
            "country_code": "US",
            "telephone_number": "757-302-5663 x3",
            "fax_number": "757-302-5458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENTIN",
        "first_name": "JACOB",
        "middle_name": "SAMUEL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-30",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "33721",
            "primary": true
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PR",
            "license": "33721",
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simin Vakily Asl, MD
• Samantha Valdez, PT, DPT
• Amanda Valdivia, PA
• Raechel Isabella Valego, COTA/L
• Sarah Valencia, CPHT
• Jennifer Rose Valentin, FNP-C
• Kyle Valentine
• Madison Valentine, DPT
• Richard Nelson Valentine Jr., M.D.
• Shawn M Valentine, DPT

• Registered Nurse in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.