Jennifer Jacobs

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101002086 Issued in MI

Practice address

415 Friant St
Grand Haven, MI 49417-2311

Phone

(616) 842-4120

NPI assigned

Dec 28, 2018

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

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": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1992277198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18463 IROQUOIS DR",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494569128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 FRIANT ST",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172311",
            "telephone_number": "616-842-4120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 W Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494413530",
            "country_code": "US",
            "telephone_number": "231-755-2221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-28",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101002086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ireland Chiropractic, P. C.
• David Russell Ireland, DC
• Susan Isaacs, D.C.
• Ithrive
• Susan Hough Ivey, MD
• Mark Jacobson, M.A.
• Brett James Janowiak, FNP
• Jennifer Rae Jarrell, NP-C
• Chivensky Jean Louis
• Jeffrey J Fritz

• Speech-Language Pathologist in Grand Haven, MI
• Providers in Grand Haven, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.