Active NPI
Perri Palmer Jacobs, ED.D.
- Counselor
- Gulf Shores, AL
National Provider Identifier
1568696649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 541
- Practice address
- 6220 Madison Dr
Gulf Shores, AL 36542-2682 - Phone
- (251) 978-2790
- Fax
- (188) 860-1494
- NPI assigned
- May 5, 2009
- Last updated
- May 5, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 541 | AL | Primary |
Addresses
Primary practice location
6220 Madison Dr
Gulf Shores, AL 36542-2682
Mailing address
6220 Madison Dr
Gulf Shores, AL 36542-2682
Phone (251) 978-2790
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 541 | AL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241481600000",
"number": "1568696649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6220 MADISON DR",
"city": "GULF SHORES",
"state": "AL",
"postal_code": "365422682",
"telephone_number": "251-978-2790",
"fax_number": "188-860-1494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6220 MADISON DR",
"city": "GULF SHORES",
"state": "AL",
"postal_code": "365422682",
"telephone_number": "251-978-2790",
"fax_number": "188-860-1494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "PERRI",
"middle_name": "PALMER",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-05",
"last_updated": "2009-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AL",
"license": "541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gulf Shores, AL
- George Thomas Illiano
- Infirmary Health Urgent Care - Gulf Shores, P.C. (Thomas Hospital Urgent Care - Gulf Shores)
- Island Drug, LLC (Island Drug Inc)
- Island Life Personalized Medicine
- Island Orthodontics
- James V Shamburger, DMD, PC (Alabama Coast Family Dentistry)
- Jeanne M Birkenhauer, M.D., P.C.
- Pamela Mintz Jeffries, PT
- Jill Suzanne Jensen, OTR/L
- Leo K Jernigan, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.