Jana L Jacobs, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35903 Issued in CO

Practice address

19641 E Parker Square Drive
Suite E
Parker, CO 80134

Phone

(303) 805-2222

Fax

(303) 805-2255

NPI assigned

Nov 1, 2006

Last updated

Jun 23, 2018By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Merlin D Brown MD PC

  dba Trinity Family Care

  • Family Medicine Physician
  • Saint Joseph, MO
  • NPI 1194847830
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529712000000",
    "number": "1699852970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 SHEA CENTER DR STE 301",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292251",
            "telephone_number": "303-357-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19641 E PARKER SQUARE DRIVE",
            "address_2": "SUITE E",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "80134",
            "telephone_number": "303-805-2222",
            "fax_number": "303-805-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JANA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "35903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01359033",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "JA60362",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney L Ivy, OTR/L
• Jacqueline A. Jackson-Driskell, M.A., L.P.C.
• Alison Michelle Jackson, DNP, APRN, FNP-C
• Jordan Renae Jackson
• Miranda Jean Jackson
• Shelby Jacobs
• Christine Lynn Jacobsen, LMT
• Jenna Jacobson, P.A.-C
• Sarah Elizabeth Jacquot, OTR/L
• Khatera Jahan, DNP, PMHNP-BC, FNP-C

• Family Medicine Physician in Parker, CO
• Providers in Parker, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2018; 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.