Cheryl R. Jacoby, H.I.S.

Primary specialty

SpecialistTaxonomy code 174400000X

License

889 Issued in WI

Practice address

610 Wilhorn Rd. #30
Nekoosa, WI 54457

Phone

(715) 886-1213

NPI assigned

Oct 19, 2010

Last updated

Oct 19, 2010By the provider in NPPES

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

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1639489081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WILHORN RD. #30",
            "city": "NEKOOSA",
            "state": "WI",
            "postal_code": "54457",
            "telephone_number": "715-886-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 WILHORN RD. #30",
            "city": "NEKOOSA",
            "state": "WI",
            "postal_code": "54457",
            "telephone_number": "715-886-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBY",
        "first_name": "CHERYL",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "H.I.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Allan Eggers
• Georgianne Elsen IV, RN
• James M Esselman
• Craig Flinders, D.O.
• Ho Chunk Nation (Ho-Chunk Behavioral Health Care - Nekoosa)
• Mary Ellen Klement
• Kolar Optometric, LLC (Kolar Vision Center)
• Peter Michael Kolar, O.D.
• Salena Lemieux, MA, LPT-IT
• Nikos Michalis Linardakis, MD

• Specialist in Nekoosa, WI
• Providers in Nekoosa, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.