Ann Jacobson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

540975 Issued in CA

Practice address

500 Crown Point Cir Ste 110
Grass Valley, CA 95945-9514

Phone

(530) 265-1450

Fax

(530) 271-0837

NPI assigned

Oct 24, 2007

Last updated

Oct 24, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• County of Nevada

  dba Nevada County Public Health

  • Public Health or Welfare Agency
  • Grass Valley, CA
  • NPI 1700959863
  NPD (past)
• Nevada County CCS

  • Rehabilitation Clinic/Center
  • Nevada City, CA
  • NPI 1376696021
  NPD (past)

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1831378033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CROWN POINT CIR STE 110",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959459514",
            "telephone_number": "530-265-1450",
            "fax_number": "530-271-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CROWN POINT CIR STE 110",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959459514",
            "telephone_number": "530-265-1450",
            "fax_number": "530-271-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "540975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Dale Ivey, P.T.
• John Calvin Jackson IV, MD
• Monica Jackson, DPT
• Laura Jaco
• Jole Marie Jacobs, RN
• Jacquelyn Crane Jacona
• Lindsay Jacquier
• Nichole Suzanne Jaerger
• Paul A. Jaffe, L.C.S.W.
• James C. Wallace DDS (Grass Valley Dentistry)

• Registered Nurse in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.