Active NPI
Dawn Marie Hartlove Jacob, CRNP
- Adult Health Nurse Practitioner
- Westminster, MD
National Provider Identifier
1871728212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R125752
- Practice address
- 125 Airport Drive, Suite 34
Westminster, MD 21157 - Phone
- (410) 848-0050
- Fax
- (410) 848-8882
- NPI assigned
- May 28, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R125752 | MD | Primary |
Addresses
Primary practice location
125 Airport Drive, Suite 34
Westminster, MD 21157
Mailing address
125 Airport Drive, Suite 34
Westminster, MD 21157
Phone (410) 848-0050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R125752 | MD | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243468800000",
"number": "1871728212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 AIRPORT DRIVE, SUITE 34",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "21157",
"telephone_number": "410-848-0050",
"fax_number": "410-848-8882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 AIRPORT DRIVE, SUITE 34",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "21157",
"telephone_number": "410-848-0050",
"fax_number": "410-848-8882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOB",
"first_name": "DAWN",
"middle_name": "MARIE HARTLOVE",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-28",
"last_updated": "2009-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "R125752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westminster, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.