Active NPI
Brynn Reilly Jacobson
- Chore Provider
- Omaha, NE
National Provider Identifier
1972492379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- Practice address
- 4611 S 96TH St
Omaha, NE 68127-1202 - Phone
- (402) 987-8059
- NPI assigned
- Jul 1, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chore Provider | 372500000X | Primary |
Addresses
Primary practice location
4611 S 96TH St
Omaha, NE 68127-1202
Mailing address
4611 S 96TH St
Omaha, NE 68127-1202
Phone (402) 987-8059
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": "1751328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1972492379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4611 S 96TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681271202",
"telephone_number": "402-987-8059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4611 S 96TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681271202",
"telephone_number": "402-987-8059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "BRYNN",
"middle_name": "REILLY",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-01",
"last_updated": "2025-07-01",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.