Jacob Hardin, RT(R)(MR)

Primary specialty

Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X

License

504802 Issued in MO

Practice address

5 Kipling Way Apt 202
Columbia, MO 65201-7251

Phone

(573) 864-9381

NPI assigned

Jun 5, 2015

Last updated

Jun 5, 2015By the provider in NPPES

Sex

Male

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": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1922488857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 KIPLING WAY APT 202",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017251",
            "telephone_number": "573-864-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 KIPLING WAY APT 202",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017251",
            "telephone_number": "573-864-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "JACOB",
        "credential": "RT(R)(MR)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "MO",
            "license": "504802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Dale Harbour, MSW, LMSW
• Vanessa Leigh Harder, REGISTERED NURSE
• Andrea Hardin, FNP
• Bethany Hardin, LCSW
• Frances Mei Hardin, MD
• Jordan Hargrove, LCSW
• Harl Family Dentistry
• Nicholas Jay Harl, DDS
• Laurel Cochran Harlan, LCSW
• Chyleigh Harmon, MD

• Magnetic Resonance Imaging Radiologic Technologist in Columbia, MO
• Providers in Columbia, MO by specialty
• Magnetic Resonance Imaging Radiologic Technologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.