Julie Elaine Jacobson

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

1311B Springer Ridge Rd
Carbondale, IL 62902-7902

Phone

(573) 489-8236

NPI assigned

Aug 24, 2010

Last updated

Aug 24, 2010By the provider in NPPES

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

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1356657688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311B SPRINGER RIDGE RD",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629027902",
            "telephone_number": "573-489-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311B SPRINGER RIDGE RD",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629027902",
            "telephone_number": "573-489-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "JULIE",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnathan Jackson, BS
• Laneasze C Jackson
• Turkessa Crystal Jackson, MA, CRC, LCPC
• Chantel Jacobs
• Paul Christopher Jacobs, O.D.
• Ahmed H Jafri, M.D.
• Michael James, FNP-BC
• Rachel Ann Jarvis, MA
• Angela M Jenkins
• Jenny Moss Occupational Therapy Services, Inc.

• Developmental Therapist in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.