Tara Jacobs, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9217318 Issued in FL

Practice address

3401 Pga Blvd
Suite 310
Palm Beach Gardens, FL 33410-2823

Phone

(561) 776-8891

NPI assigned

Nov 17, 2013

Sex

Female

Sole proprietor

Yes

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": "1384646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402185600000",
    "number": "1407286164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 BELLAROSA CIR",
            "address_2": "UNIT 3",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334111469",
            "telephone_number": "850-766-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 PGA BLVD",
            "address_2": "SUITE 310",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102823",
            "telephone_number": "561-776-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "TARA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-17",
        "last_updated": "2014-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9217318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheika A Jacinthe, APRN
• Amanda Meister Jackson, PHARMD
• Crystal Louise Jackson, MSN, APRN, WHNP-BC
• Natasha Monique Jackson, DPT
• Michael A Jacobs, MD PA
• Evan L Jacobson, M.D.
• Michelle C Jacobson, LCSW
• Andrew Todd Jaffe, M.D.
• Diane Jane Jagoda, MSW
• Ragena Montana Lisa Jagon

• Family Nurse Practitioner in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2014; 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.