Individual provider Active NPI

Shandell Marie Jakobeit, HIS, COHC

  • Hearing Instrument Specialist
  • La Grange, TX
National Provider Identifier
1609193143
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
50691 Issued in TX
Practice address
932 E Travis St
La Grange, TX 78945-3024
Phone
(979) 968-3784
Fax
(979) 968-6613
NPI assigned
Apr 23, 2010
Last updated
May 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 50691 TX Primary

Addresses

Primary practice location

932 E Travis St
La Grange, TX 78945-3024

Mailing address

1737 Loehr Rd
La Grange, TX 78945-6041
Phone (979) 247-4476

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

LicenseStateTypeSpecialty
50691TXMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305849600000",
    "number": "1609193143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 LOEHR RD",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789456041",
            "telephone_number": "979-247-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 E TRAVIS ST",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789453024",
            "telephone_number": "979-968-3784",
            "fax_number": "979-968-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKOBEIT",
        "first_name": "SHANDELL",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "HIS, COHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2011-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "50691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.