Active NPI
Louise G Jacobson, RD, CDE
- Registered Dietitian
- Germantown, TN
National Provider Identifier
1427298819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 412128
- Practice address
- 6567 Poplar Woods Cir S
# 1
Germantown, TN 38138-0640 - Phone
- (901) 755-6785
- NPI assigned
- Feb 25, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 412128 | TN | Primary |
Addresses
Primary practice location
6567 Poplar Woods Cir S
# 1
Germantown, TN 38138-0640
Mailing address
6567 Poplar Woods Cir S
# 1
Germantown, TN 38138-0640
Phone (901) 755-6785
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 412128 | TN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235520000000",
"number": "1427298819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6567 POPLAR WOODS CIR S",
"address_2": "# 1",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381380640",
"telephone_number": "901-755-6785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6567 POPLAR WOODS CIR S",
"address_2": "# 1",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381380640",
"telephone_number": "901-755-6785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "LOUISE",
"middle_name": "G",
"credential": "RD, CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-25",
"last_updated": "2009-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "412128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.