Jacob Macgregor, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704232756 Issued in MI

Practice address

9300 Dewit Loop
Fort Belvoir Community Hospital
Fort Belvoir, VA 22060

Phone

(571) 231-4578

NPI assigned

Feb 1, 2011

Sex

Male

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)

Enrolled

Credentials

Certified Registered Nurse

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1457657983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 LAURENTIDE DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032120",
            "telephone_number": "734-665-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 DEWIT LOOP",
            "address_2": "FORT BELVOIR COMMUNITY HOSPITAL",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "22060",
            "telephone_number": "571-231-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACGREGOR",
        "first_name": "JACOB",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-01",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704232756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Anne Luna, CNM
• Sylvia Luther, M.D.
• Bella Hoangdung Ly, DDS
• Kai-Wood Ma, MD
• Jason Alexander Macdonnell, M.D.
• Lisa Mack, MD
• John Rico Bustamante Magpantay, MD
• Michael Malabad, PA-S
• Hanaa Sadik Malaty, RPH
• Paola Cristina Maldonado, APRN

• Certified Registered Nurse Anesthetist in Fort Belvoir, VA
• Providers in Fort Belvoir, VA by specialty
• Certified Registered Nurse Anesthetist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.