Natalie Nelsen Jacobson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

9739 Issued in KY

Practice address

502 Mount Eden Rd
Shelbyville, KY 40065-8871

Phone

(502) 633-1538

NPI assigned

May 25, 2016

Last updated

Jul 10, 2019By 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

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• University of Kentucky

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1770771974
  Medicare reassignment NPD
• University of Kentucky

  dba UK College of Dentistry

  • Dentist
  • Lexington, KY
  • NPI 1306929385
  NPD
• Family Dental Care of Kentucky PSC

  • General Practice Dentistry
  • Shelbyville, KY
  • NPI 1770680761
  NPD (past)
• Mortenson Family Dental Center-Shelbyville East

  • Clinic/Center
  • Shelbyville, KY
  • NPI 1801109053
  NPD (past)

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1861840357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 MOUNT EDEN RD",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658871",
            "telephone_number": "502-633-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 MOUNT EDEN RD",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658871",
            "telephone_number": "502-633-1538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1006 Leawood Dr",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "KY",
            "postal_code": "406013349",
            "country_code": "US",
            "telephone_number": "502-223-0211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "NATALIE",
        "middle_name": "NELSEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inspire Weight Loss and Medspa Inc
• Eman Hiatham Issa
• Jackson Healthcare
• Ronald Jackson, LCSW
• William J Jackson, MD
• Kacie Lyn Jakaitis, MPT
• Charla J Jamison
• Sydnie Jamison
• Erica Ann Jenkins, LCADC
• Megan Jenkins, PHYSICAL THERAPIST

• Dentist in Shelbyville, KY
• Providers in Shelbyville, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.