Aimee Elizabeth Jacoby, P.A

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

3283 Issued in CO

Practice address

810 East 3Rd St, Suite #301
Pediatric Partners of the Southwest
Durango, CO 81301

Phone

(970) 375-0100

Fax

(970) 375-9210

NPI assigned

Oct 25, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1679859482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 EAST 3RD ST SUITE #301",
            "address_2": "PEDIATRIC PARTNERS OF THE SOUTHWEST",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81301",
            "telephone_number": "970-375-0100",
            "fax_number": "970-375-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 EAST 3RD ST, SUITE #301",
            "address_2": "PEDIATRIC PARTNERS OF THE SOUTHWEST",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81301",
            "telephone_number": "970-375-0100",
            "fax_number": "970-375-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBY",
        "first_name": "AIMEE",
        "middle_name": "ELIZABETH",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA-3283",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "3283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Christopher Jackson, D.C.
• James Paul Jackson, O.D.
• Tara M Jackson, MA
• Velvet Jackson
• Brooke Taylor Jacobs, RBT
• Terrence J Jakubanis, D.D.S.
• James D. Moore, DDS, Professional LLC
• Jessie Janel Jameson, M.D
• Melinda Close Jameson, MA LPC
• Peter E Jamieson, PA

• Pediatrics Physician in Durango, CO
• Providers in Durango, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.