Brooke L Jacob, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN-0000379 Issued in DE

Practice address

4735 Ogletown Stanton Road
Suite 3201
Newark, DE 19713

Phone

(302) 623-4323

Fax

(302) 623-4315

NPI assigned

Mar 5, 2012

Last updated

Nov 3, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christiana Care Health Services Inc

  dba CCHS Diabetes & Metabolic

  • Endocrinology, Diabetes & Metabolism Physician
  • Wilmington, DE
  • NPI 1407830748

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1528332871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 30170",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198057170",
            "telephone_number": "302-623-7113",
            "fax_number": "302-623-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 OGLETOWN STANTON ROAD",
            "address_2": "SUITE 3201",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19713",
            "telephone_number": "302-623-4323",
            "fax_number": "302-623-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "BROOKE",
        "middle_name": "L",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-05",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "DE",
            "license": "DN-0000379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer J Jackson, MS, LPC
• Kelly Jean Jackson, COTA
• Leah Ann Jackson, LMHC
• Michael Jackson, M.A., N.C.C,
• Tamar Yolanda Jackson, M.D.
• Tonya Jacobs, LPCMH
• Alexander M. Jacobson, M.D.
• Matthew David Jacobson, MD
• Jennifer Jacotin, LCSW
• Ariella Candace Marie Jacques, MD

• Registered Dietitian in Newark, DE
• Providers in Newark, DE by specialty
• Registered Dietitian in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.