Heather Woods Jacobs, R.N., B.S.N.

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

138512 Issued in NC

Practice address

1065 Vinehaven Dr
Concord, NC 28025-2439

Phone

(704) 786-9181

NPI assigned

Nov 7, 2007

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

Credentials

Bachelor on Science - Nursing, 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.

• NC DHHS Child and Family Well-Being

  • Early Intervention Provider Agency
  • Concord, NC
  • NPI 1346464716
  NPD (past)

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1396925301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 WEATHERBY DR",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281465218",
            "telephone_number": "704-279-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 VINEHAVEN DR",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252439",
            "telephone_number": "704-786-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "HEATHER",
        "middle_name": "WOODS",
        "name_prefix": "Mrs.",
        "credential": "R.N., B.S.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NC",
            "license": "138512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Khadija Jackson, LPN
• Princess Jackson
• Sandra Denise Jackson, LCSWA
• Brandie Nicole Jacobs, APRN FNP-C
• Devin Jacobs
• Lacee Overcash Jacobs, LPCA
• Leroy L. Jah
• Manish Jain, MD
• James F. Kirk DPM,PA
• James S. Hunter, D.D.S., P.a.

• Pediatric Registered Nurse in Concord, NC
• Providers in Concord, NC by specialty
• Pediatric Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.