Shatoya F Jacob

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

License

100756391 Issued in NM

Practice address

1501 San Pedro Dr SE # 128
Albuquerque, NM 87108-5153

Phone

(505) 800-1874

Fax

(505) 800-1874

NPI assigned

Apr 8, 2026

Last updated

Apr 8, 2026By 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

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": "1775606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1891637963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 SAN PEDRO DR SE # 128",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871085153",
            "telephone_number": "505-800-1874",
            "fax_number": "505-800-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SAN PEDRO DR SE # 128",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871085153",
            "telephone_number": "505-800-1874",
            "fax_number": "505-800-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "SHATOYA",
        "middle_name": "F",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NM",
            "license": "100756391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamika Jackson
• Tyson A Jackson, MD
• Williemae Jackson
• Jacob P. Torrez, LCSW, LLC.
• Athira Jacob
• Stacia M Jacobi-Garcia, O.D.
• Jay Jacobi, MD
• Sarah M Jacobi
• Aaron Jacobs, MD
• Alexandra Jacobs, IBCLC

• Attendant Care Provider in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Attendant Care Provider in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.