Angela Jacobs, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

DL470 Issued in ME

Practice address

2 Plaza Dr
Windham, ME 04062-5927

Phone

(207) 893-2930

NPI assigned

Aug 13, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Tena Group, LLC

  • Hearing Aid Equipment
  • Windham, ME
  • NPI 1568604320

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1619708385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PLAZA DR",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625927",
            "telephone_number": "207-893-2930",
            "fax_number": "207-893-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PLAZA DR",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625927",
            "telephone_number": "207-893-2930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Maple St Ste D",
            "address_purpose": "LOCATION",
            "city": "Cornish",
            "state": "ME",
            "postal_code": "040203149",
            "country_code": "US",
            "telephone_number": "207-893-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "152 US Route 1 Ste 14",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040748367",
            "country_code": "US",
            "telephone_number": "207-893-2930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "ANGELA",
        "credential": "HIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "ME",
            "license": "DL470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blaise Ishimwe, DSP
• Cameron Maxwell Ives, MSW,LCSW
• Jackson Surgical Assisting Services LLC.
• Michael James Jackson, RNFA
• Warren Jackson, OD
• Patricia Jacobsen Kaczmarek, LMT
• Jeffrey E Martin MD
• Ashly D Jewell, FNP
• Colleen Jillson, LCSW, LADC, CCS
• Kayley Ann Johnson

• Hearing Instrument Specialist in Windham, ME
• Providers in Windham, ME by specialty
• Hearing Instrument Specialist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.