Kimberly Jacobs, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01139 Issued in TX

Practice address

1308 Common St Ste 203
New Braunfels, TX 78130-3561

Phone

(830) 608-1403

Fax

(830) 608-1400

NPI assigned

Jun 18, 2014

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• K&DJ Enterprises

  • Medical Specialty Clinic/Center
  • New Braunfels, TX
  • NPI 1912314089
  NPD (past) Authorized official

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1902210883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 COMMON ST., SUITE 203",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781323586",
            "telephone_number": "830-608-1403",
            "fax_number": "830-608-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 COMMON ST STE 203",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303561",
            "telephone_number": "830-608-1403",
            "fax_number": "830-608-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC01139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Annmarie Ivey, LPC
• Jackie Engelhardt Counseling PLLC
• Randal K Jacks, MD
• Jackson Savage P.L.L.C.
• Candace McKenzie Jackson, LPC
• Rinki Jain
• Brandon Reagan James, D.P.M.
• Deborah Ann James, RPH
• Jenifer Nichele James, LPC
• Joshua James, MD

• Acupuncturist in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Acupuncturist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.