David Michael Jacobs, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

1026734 Issued in TX

Practice address

214 Watlington St
Center, TX 75935-4348

Phone

(936) 427-7509

NPI assigned

Apr 1, 2021

Last updated

Apr 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1598343386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 WATLINGTON ST",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759354348",
            "telephone_number": "936-427-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 WATLINGTON ST",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759354348",
            "telephone_number": "936-427-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "1026734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "1026734",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Morris K Jackson, MD
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• Janet Kay Jahnke, RN
• Jane D. Todd, M.D. (Center Recovery Center)
• Jennings Place Inc.
• JLS Dental PLLC
• Courtney Johnson, LVN

• Licensed Vocational Nurse in Center, TX
• Providers in Center, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.