Individual provider Active NPI

Aileen G Jakaub, RN

  • General Practice Registered Nurse
  • Yuma, AZ
National Provider Identifier
1568544641
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
57554 Issued in OK
Practice address
301 C St
BLDG 990
Yuma, AZ 85365-9498
Phone
(928) 328-2666
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 57554 OK Primary

Addresses

Primary practice location

301 C St
BLDG 990
Yuma, AZ 85365-9498

Mailing address

301 C St
BLDG 990
Yuma, AZ 85365-9498
Phone (928) 328-2666

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
57554OKMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Weed Army Community Hospital Past Accepting new patients

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568544641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 C ST",
            "address_2": "BLDG 990",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853659498",
            "telephone_number": "928-328-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 C ST",
            "address_2": "BLDG 990",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853659498",
            "telephone_number": "928-328-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKAUB",
        "first_name": "AILEEN",
        "middle_name": "G",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OK",
            "license": "57554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.