Laura Kristen Jacobsen

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6993 Issued in NC

Practice address

3930 Swarthmore Rd
Durham, NC 27707-5314

Phone

(919) 321-2183

NPI assigned

Aug 30, 2023

Sex

Female

Sole proprietor

No

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.

• A Place to Grow, Inc.

  • Pediatric Occupational Therapist
  • Durham, NC
  • NPI 1205031838
  NPD (past)

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1972388692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 FAIRFIELD CT",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275167702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 SWARTHMORE RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075314",
            "telephone_number": "919-321-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSEN",
        "first_name": "LAURA",
        "middle_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "6993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Jacobs
• Danny O Jacobs, M.D.
• Jason Michael Jacobs, MSW
• Kate Jacobs
• Vera Jacobs
• Erica E Jacobson, MAT, LAT, ATC
• Jennifer Jacobson
• Dennis Jacokes, M.D.
• Joshua Jacomet, LCMHCA
• Katelyn Keith Jacques, DNP A-GNP

• Occupational Therapist in Durham, NC
• Providers in Durham, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.