Judy Jacobsen, PAC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0114 Issued in SD

Practice address

132 N Dakota Ave
Sioux Falls, SD 57104

Phone

(605) 367-8793

Fax

(605) 367-7283

NPI assigned

Sep 20, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1437256310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 PINEVIEW CR",
            "city": "HARTFORD",
            "state": "SD",
            "postal_code": "57033",
            "telephone_number": "605-528-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 N DAKOTA AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57104",
            "telephone_number": "605-367-8793",
            "fax_number": "605-367-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSEN",
        "first_name": "JUDY",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "0114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5350010",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Jacobs
• Mitchell Wade Jacobs, D.C.
• Shauna Marie Jacobs, CNP
• Kacie Nicole Jacobsen-Ahlers, PA-C
• Amanda Kay Jacobsen, OTR/L
• Lindsay Lorraine Jacobsen, RN
• Amanda Christine Jacobsma, DPT
• Kristi Lynn Jacobsma, CAC
• Erik R. Jacobson, D.O.
• Erika Jean Jacobson, CSW-PIP, CAC

• Family Medicine Physician in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Family Medicine Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.