Organization Active NPI

Judy Jacobs

  • Clinic/Center
  • Tucson, AZ
National Provider Identifier
1790154474
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
6305 Issued in AZ
Legal business name
JUDY JACOBS
Practice address
2450 E Speedway Blvd Ste 6
Tucson, AZ 85719-4748
Phone
(928) 254-8600
NPI assigned
Sep 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Authorized official

Name
Judy Jacobs, AC
Title
Acupuncturist
Phone
(928) 254-8600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 6305 AZ Primary
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

2450 E Speedway Blvd Ste 6
Tucson, AZ 85719-4748

Mailing address

2450 E Speedway Blvd Ste 6
Tucson, AZ 85719-4748
Phone (928) 254-8600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1790154474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 E SPEEDWAY BLVD STE 6",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857194748",
            "telephone_number": "928-254-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 E SPEEDWAY BLVD STE 6",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857194748",
            "telephone_number": "928-254-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY JACOBS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "928-254-8600",
        "authorized_official_credential": "AC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "6305",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

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