Angela Lynn Jacobson, M.S., C.G.C.

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

825 Eastlake Ave E
E2-102
Seattle, WA 98109-4405

Phone

(206) 288-6990

Fax

(206) 288-1025

NPI assigned

Jul 7, 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 names 1

• Angela Lynn Gibson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1679506448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18612 SE 45TH ST",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980279764",
            "telephone_number": "206-484-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 EASTLAKE AVE E",
            "address_2": "E2-102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094405",
            "telephone_number": "206-288-6990",
            "fax_number": "206-288-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "ANGELA",
        "middle_name": "LYNN",
        "credential": "M.S., C.G.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "GIBSON",
            "middle_name": "LYNN",
            "credential": "M.S., C.G.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erika Jacobsen, MD
• Kiandra Lisaray Jacobsen, LICSW
• Kristen Jacobsen, LMHC
• Sonja Jacobsen, PHARMD
• Andrew W Jacobson, M.D.
• Christian Bernard Jacobson, LMP
• Diana Mary Jacobson, MSW, LICSW
• Elizabeth N Jacobson, M.D.
• Jedediah H Jacobson
• Julie Jacobson, MD

• Genetic Counselor (M.S.) in Seattle, WA
• Providers in Seattle, WA by specialty
• Genetic Counselor (M.S.) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.