Jessica Evans Jakobe

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

011700 Issued in NY

Practice address

141 Petrova Ave
Petrova Elementary
Saranac Lake, NY 12983

Phone

(518) 897-1673

NPI assigned

Oct 20, 2010

Last updated

Oct 20, 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": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1699085910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 TEBBUTT ROAD",
            "address_2": "P.O. BOX 260",
            "city": "RAINBOW LAKE",
            "state": "NY",
            "postal_code": "12976",
            "telephone_number": "518-327-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 PETROVA AVE",
            "address_2": "PETROVA ELEMENTARY",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "12983",
            "telephone_number": "518-897-1673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKOBE",
        "first_name": "JESSICA",
        "middle_name": "EVANS",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "011700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Hull, MD
• Kristina F Hybicki, LCSW
• Michael Hybicki
• Amy J Isabella, SLP
• Margaret Kathleen Ivimey, RN
• James G Merrick M. D PLLC
• James W Bevilacqua (Post Office Pharmacy)
• Andrew Michael James, RN-BSN
• Lori Jo Jamison, RN
• James Emerson Jenks, M.D.

• Speech-Language Pathologist in Saranac Lake, NY
• Providers in Saranac Lake, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.