Jacob David Kirby

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

11285 Cricket Holw
Semmes, AL 36575-6626

Phone

(251) 680-0090

NPI assigned

Feb 20, 2023

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 20, 2023.

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1316645252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11285 CRICKET HOLW",
            "city": "SEMMES",
            "state": "AL",
            "postal_code": "365756626",
            "telephone_number": "251-680-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11285 CRICKET HOLW",
            "city": "SEMMES",
            "state": "AL",
            "postal_code": "365756626",
            "telephone_number": "251-680-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "JACOB",
        "middle_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debrika Johnson, CRNP
• Kennadi Johnson, PHARMD
• Selah Ruth Johnston, PA
• Jemiar Jonasian, EXERCISE SCIENCE B.S
• Robert Bruce King, DMD
• Stephen Joseph Knowles
• Carolyn L Ladart, RPH
• Corisca Marsai Lambert, LPN
• Letz Ride Transporation, LLC
• James Matthew Lindsey, PA

• All providers in Semmes, AL
• Nutritionist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.