Delwin B. Jacoby, DNP, ARNP,

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

3000960 Issued in KY

Practice address

549 E 3Rd St
Lexington, KY 40508-1612

Phone

(859) 367-7400

Fax

(859) 367-6194

NPI assigned

Apr 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: djacoby19653@ukhcdirect.org

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

• Bluegrass Public Health Consultants LLC

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1669650339
  NPD (past)

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1720042542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 CORPORATE DR",
            "address_2": "SUITE 400",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405035416",
            "telephone_number": "859-277-9436",
            "fax_number": "859-277-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 E 3RD ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405081612",
            "telephone_number": "859-367-7400",
            "fax_number": "859-367-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBY",
        "first_name": "DELWIN",
        "middle_name": "B.",
        "name_prefix": "Mrs.",
        "credential": "DNP, ARNP,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1042113",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "3000960",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3000960",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trina Jacobs, MS, CCC/SLP
• April Jacobson
• Lynn Marie Jacobson, M.D.
• Mark S Jacobson, DDS
• Shanda Jacobson, RDH
• Evan Michael Jacoby, MD
• Stephanie Nichelle Jadhav, MD
• Mary Caroline Jaeger
• Judith Jill Bowling Jaggers, APRN
• Sarah Marie Jagielski

• Pediatric Nurse Practitioner in Lexington, KY
• Providers in Lexington, KY by specialty
• Pediatric Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.