Robin Jacobs, A.P.R.N.

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

190584-4405 Issued in UT

Practice address

1174 E Graystone Way Ste 4
SLC, UT 84106-2671

Phone

(801) 502-4650

NPI assigned

Jun 12, 2007

Last updated

Apr 19, 2017By 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

Enrolled in UT

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psychiatric and Behavioral Solutions LLCGroup PAC ID 8921245879, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Psychiatric & Behavioral Solutions, L.L.C.

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
  • NPI 1790043867
  Medicare reassignment Care Compare group NPD
• Mindqa

  • Psychiatry Physician
  • Salt Lake City, UT
  • NPI 1871029934
  NPD (past) Authorized official
• Solo Clinical Services LLC

  • Adult Health Nurse Practitioner
  • Salt Lake City, UT
  • NPI 1265612097
  NPD (past)

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1922202282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 E GRAYSTONE WAY",
            "address_2": "STE 4",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062673",
            "telephone_number": "801-502-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 E GRAYSTONE WAY STE 4",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841062671",
            "telephone_number": "801-502-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "ROBIN",
        "credential": "A.P.R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "UT",
            "license": "190584-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cavett S Ishihara, MFTI
• Ivan D Flint MD PC
• J Manuel de la Torre Inc
• Quincy Jackson
• Ryan Jackson
• Claudia Jaimes Estrada, RBT
• Alina Jameson, MS, RDN, CSSD
• Trevor Jameson, M.S., A.T.C.
• Leah E Jaramillo, CMFTI
• Adam Jarvis, PT, DPT

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in SLC, UT
• Providers in SLC, UT by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.