Individual provider Active NPI

Jacob Tanner Barb, RN

  • Administrator Registered Nurse
  • Plano, TX
National Provider Identifier
1508601634
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
255632 Issued in TN
Practice address
7950 Legacy Dr Ste 1000
Plano, TX 75024-0417
Phone
(972) 943-6400
NPI assigned
Jun 29, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 255632 TN
Critical Care Medicine Registered Nurse 163WC0200X 255632 TN
Neonatal Intensive Care Registered Nurse 163WN0002X 255632 TN
Low-Risk Neonatal Registered Nurse 163WN0003X 255632 TN
Pediatric Registered Nurse 163WP0200X 255632 TN
Pediatric Oncology Registered Nurse 163WP0218X 255632 TN
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 255632 TN
Nursing Home Administrator 376G00000X NHA-NHA-LIC-6721 MT
Administrator Registered Nurse 163WA2000X 255632 TN Primary

Addresses

Primary practice location

7950 Legacy Dr Ste 1000
Plano, TX 75024-0417

Mailing address

7950 Legacy Dr Ste 1000
Plano, TX 75024-0417
Phone (972) 943-6400

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
255632TNMDPediatric Registered Nurse
NHA-NHA-LIC-6721MTMDNursing Home Administrator

Practice roles

OrganizationSpecialtyStatusNew patients
Continuecare Hospital at Palmetto Health Baptist, Inc. CurrentSince Jun 15, 2025 Accepting new patients

Locations

7950 Legacy Dr
Ste 1000
Plano, TX 75024
Phone (972) 943-6400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1508601634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 LEGACY DR STE 1000",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240417",
            "telephone_number": "972-943-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 LEGACY DR STE 1000",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240417",
            "telephone_number": "972-943-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARB",
        "first_name": "JACOB",
        "middle_name": "TANNER",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-29",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "255632",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TN",
            "license": "255632",
            "primary": false
        },
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "TN",
            "license": "255632",
            "primary": false
        },
        {
            "code": "163WN0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal, Low-Risk",
            "state": "TN",
            "license": "255632",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TN",
            "license": "255632",
            "primary": false
        },
        {
            "code": "163WP0218X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatric Oncology",
            "state": "TN",
            "license": "255632",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "TN",
            "license": "255632",
            "primary": false
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "MT",
            "license": "NHA-NHA-LIC-6721",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "TN",
            "license": "255632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.