CAROLINE N JACOBS PHD, APRN
NPI 1306158548
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR
NPI Status: Active since July 03, 2010
Contact Information
4804 NW BETHANY BLVD
STE I-2, #142
PORTLAND, OR
ZIP 97229
Phone: (503) 332-6000
- Individual
- Female
- Nurse Practitioner
- Psychiatric/Mental Health
About CAROLINE JACOBS
This page provides the complete NPI Profile along with additional information for Caroline Jacobs, a provider established in Portland, Oregon with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1306158548 assigned on July 2010. The practitioner's primary taxonomy code is 363LP0808X with license number AP60167711 (WA). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1306158548
- Provider Name
- CAROLINE N JACOBS PHD, APRN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4804 NW BETHANY BLVD STE I-2, #142 PORTLAND, OR 97229
- Location Phone
- (503) 332-6000
- Mailing Address
- 4804 NW BETHANY BLVD. STE I-2, #142 PORTLAND, OR 97229
- Mailing Phone
- (503) 332-6000
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-03-2010
- Last Update Date
- 07-21-2022
- Code Navigator
A nurse practitioner (NP) like Caroline Jacobs is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 5170 NW Millstone Way
Portland, OR 97229
(503) 332-6000
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- AP60167711
- License State
- WA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0271524 | OTHER (01) | WA | LABOR & INDUSTRIES |
| 1306158548 | MEDICAID (05) | WA |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 0 | 6 | 1 | 5 | 8 | 5 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 0 | 6 | 2 | 5 | 16 | 5 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 0 + 6 + 2 + 5 + 1 + 6 + 5 + 8 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1306158548 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1114324597 | FITNESS & FUNCTION LLC Organization | Physical Therapist (Geriatrics) | 4804 NW BETHANY BLVD SUITE 12 #167 PORTLAND, OR 97229 (503) 267-1030 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306158548, enumerated in the NPI registry as an "individual" on July 03, 2010
The provider is located at 4804 Nw Bethany Blvd Ste I-2, #142 Portland, Or 97229 and the phone number is (503) 332-6000
The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on July 03, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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