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NPI · 1700638293 · NPPES-sourced

Shiny Jacob

ActivePsychiatric/Mental Health Nurse Practitioner
NPI Number
1700638293
Type 1 · Individual
Contact
(909) 553-0055
License CA · 95028911
Last Updated
About 2 years ago (Apr 2024)
Enumerated 2024-04-05
Primary practice addressCA · 92374-2957
1030 Nevada StRedlands, CA 92374-2957
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About this NPIWhat this record shows.

NPI 1700638293 is registered to Shiny Jacob, a Psychiatric/Mental Health Nurse Practitioner practising at 1030 Nevada St in Redlands, California. Psychiatric/Mental Health Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Shiny Jacob has been enumerated in the National Provider Identifier (NPI) registry since 2024.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2024-04-05
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Shiny Jacob accepts. To confirm in-network status with your specific health plan, contact Shiny Jacob directly at (909) 553-0055.

Frequently asked

Yes. NPI 1700638293 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Psychiatric/Mental Health Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (909) 553-0055.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Shiny Jacob is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363LP0808X
Last updated2024-04
Enumerated2024-04-05
StatusActive
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