Individual provider Active NPI

Ann Elizabeth Jacobson, AU.D

  • Audiologist
  • San Antonio, TX
National Provider Identifier
1780831933
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
80701 Issued in TX
Practice address
8961 Tesoro Dr
Neisd Ramec, Ste 500
San Antonio, TX 78217-6226
Phone
(210) 407-0121
Fax
(210) 804-7213
NPI assigned
Aug 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 80701 TX Primary

Addresses

Primary practice location

8961 Tesoro Dr
Neisd Ramec, Ste 500
San Antonio, TX 78217-6226

Mailing address

8961 Tesoro Dr
Neisd Ramec, Ste 500
San Antonio, TX 78217-6226
Phone (210) 407-0121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80701TXMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1780831933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8961 TESORO DR",
            "address_2": "NEISD RAMEC, STE 500",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176226",
            "telephone_number": "210-407-0121",
            "fax_number": "210-804-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8961 TESORO DR",
            "address_2": "NEISD RAMEC, STE 500",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176226",
            "telephone_number": "210-407-0121",
            "fax_number": "210-804-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "ANN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.