Siomara Yanilet Jacobo, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA49679 Issued in FL

Practice address

1936 Lee Road
Ste 137 Marc Irwin Sharfman MD PA
Winter Park, FL 32789

Phone

(407) 644-3737

Fax

(407) 644-3009

NPI assigned

Apr 11, 2007

Last updated

Jul 8, 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

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841413580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 W OAK RIDGE RD",
            "address_2": "BLDG 117",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32809",
            "telephone_number": "321-297-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 LEE ROAD",
            "address_2": "STE 137 MARC IRWIN SHARFMAN MD PA",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "32789",
            "telephone_number": "407-644-3737",
            "fax_number": "407-644-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBO",
        "first_name": "SIOMARA",
        "middle_name": "YANILET",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA49679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Jackson
• Gabrielle Jackson
• Monica Jackson, LMHC
• Mary R Jacob, ARNP
• Melvin R. Jacob
• Kelly B Jacobson, PH.D.
• Rhonda Lynn Jacobson
• Jacqueline L. Kaiser M.D., P.a.
• Stephanie Jacques, LMHC
• Jade Milan Studio LLC (HOUSE of MILAN)

• Massage Therapist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.