Alyssa Jacobs

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

RN.479068 Issued in OH

Practice address

630 Childrens Dr
Columbus, OH 43205-2649

Phone

(614) 722-2000

NPI assigned

Apr 15, 2025

Sex

Female

Sole proprietor

No

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": "1744675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1356137707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 CRESCENT DR",
            "city": "WEST JEFFERSON",
            "state": "OH",
            "postal_code": "431621011",
            "telephone_number": "614-558-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052649",
            "telephone_number": "614-722-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "OH",
            "license": "RN.479068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Nicole Jackson
• Zian Jackson, LPC
• Jackson'S Accessible Carrier Solutions, Inc.
• Diviya Jacob
• Ariel Jacobi
• Amy Jacobs, MSW LISW
• Ayanna Gavriella Jacobs
• Brandy Lillian Jacobs, LPN
• Christina L Jacobs, LPN
• Darick L Jacobs, M.D.

• Pediatric Registered Nurse in Columbus, OH
• Providers in Columbus, OH by specialty
• Pediatric Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.