Sarah E Jacob, LPN, LMP

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

LP00052241 Issued in WA

Practice address

307 W Cota St
Shelton, WA 98584-2265

Phone

(360) 205-8001

NPI assigned

Mar 5, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sarah E Tyler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1568229573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 SCHIRM LOOP RD NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985029303",
            "telephone_number": "360-790-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W COTA ST",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985842265",
            "telephone_number": "360-205-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "SARAH",
        "middle_name": "E",
        "credential": "LPN, LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "WA",
            "license": "LP00052241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "TYLER",
            "middle_name": "E",
            "credential": "LPN, LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danielle Hutchins, RN, IBCLC
• Rita Dyanne Ickert
• Ideas Unlimited Inc (The Healthcare Center)
• Heung In
• Joshua Ireland
• Carley A Jacobs, PA-C
• Amy P Jacobsen, MA
• Mariann Sue Jacobson
• Makayla James, SUDPT
• John Janisko, PA-C

• Nursing Care Agency in Shelton, WA
• Providers in Shelton, WA by specialty
• Nursing Care Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.