Gina Renee Jacobs, OWNER/OPERATOR DOT

Primary specialty

AmbulanceTaxonomy code 341600000X

License

003562 Issued in TN

Practice address

305 N College St.
Winchester, TN 37398

Phone

(615) 351-7890

NPI assigned

Apr 16, 2013

Last updated

Apr 16, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1851734230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N COLLEGE ST.",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "37398",
            "telephone_number": "615-351-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N COLLEGE ST.",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "37398",
            "telephone_number": "615-351-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "GINA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "OWNER/OPERATOR DOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TN",
            "license": "003562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF TRANSPORTATION",
            "identifier": "D0697",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hunt
• Glen A Hyde, D.D.S.
• Heather Ann Hyden, FNP-C
• Internal Medicine Specalists of Middle Tennessee
• Jason Cole Jackson, PA-C, DC
• Cynthia Janke, LCSW
• Saharra D Jewell, APN
• Deborah K Jolleywatson, D.PH.
• K -VA -T Food Stores Inc (Food City Pharmacy #690)
• Kaitlyn Martin, DO, PC

• Ambulance in Winchester, TN
• Providers in Winchester, TN by specialty
• Ambulance in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.