Active NPI
Scott Jacobsen
- Technician
- Bellingham, MA
National Provider Identifier
1932579752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician
- License
- 8540
- Practice address
- 10 Horseshoe Dr
Bellingham, MA 02019-1416 - Phone
- (978) 337-7407
- NPI assigned
- Oct 6, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Technician | 374700000X | 8540 | MA | Primary |
Addresses
Primary practice location
10 Horseshoe Dr
Bellingham, MA 02019-1416
Mailing address
10 Horseshoe Dr
Bellingham, MA 02019-1416
Phone (978) 337-7407
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444089600000",
"number": "1932579752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 HORSESHOE DR",
"city": "BELLINGHAM",
"state": "MA",
"postal_code": "020191416",
"telephone_number": "978-337-7407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 HORSESHOE DR",
"city": "BELLINGHAM",
"state": "MA",
"postal_code": "020191416",
"telephone_number": "978-337-7407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSEN",
"first_name": "SCOTT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-06",
"last_updated": "2015-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": "MA",
"license": "8540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.