Linda A Jacobson, A.P.R.N.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

000895 Issued in CT

Practice address

451 State St
North Haven, CT 06473-3019

Phone

(203) 248-8888

Fax

(203) 248-8889

NPI assigned

Dec 21, 2006

Sex

Female

Sole proprietor

No

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1659435600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 STATE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733019",
            "telephone_number": "203-248-8888",
            "fax_number": "203-248-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 STATE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733019",
            "telephone_number": "203-248-8888",
            "fax_number": "203-248-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "LINDA",
        "middle_name": "A",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "000895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008035017",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrated Psychiatric Services Inc
• Interim Healthcare of North Haven, Inc.
• Marco G Iovanna, PA-C
• Katayun Irani
• Douglas H Israel, M.D., F.A.C.C.
• Steven Jacoby, M.D., F.A.C.C.
• James B Fanning MD PC
• Jamie Newall LCSW LLC
• Deborah Jean
• Noura Jeblawi

• Pediatric Nurse Practitioner in North Haven, CT
• Providers in North Haven, CT by specialty
• Pediatric Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.