Amanda M Jacobs
Specialist/Technologist, Athletic Trainer in Southington, Connecticut
1386485167- Practice location
- 720 Pleasant St, Southington, CT 06489-2752
- Phone
- 860-628-3229
- Fax
- 860-628-3397
- Last updated
- July 24, 2026
Amanda Marie Jacobs is a Specialist/Technologist, Athletic Trainer based in Southington, CT. Amanda Marie Jacobs practices in Southington, CT. The NPI Number for Amanda Marie Jacobs is 1386485167 and holds a License No. 2043 (CT). The current practice location address for Amanda Marie Jacobs is 720 Pleasant St, Southington, CT 06489-2752 and can be reached out via phone at 860-628-3229 and via fax at 860-628-3397.
Provider Profile Details
- NPI Number
- 1386485167
- Provider Name
- Amanda Marie Jacobs
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 720 Pleasant St, Southington, CT 06489-2752
- Phone Number
- 860-628-3229
- Fax Number
- 860-628-3397
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 4, 2024
- Last Update Date
- July 24, 2026
- Certification Date
- July 24, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 720 Pleasant St
Southington, CT 06489-2752 - City
- Southington
- State
- Connecticut
- Zip
- 06489-2752
- Phone Number
- 860-628-3229
- Fax Number
- 860-628-3397
Provider Business Mailing Address Details
- Address
- 41 Kingwood Pl
New Britain, CT 06053-1733 - City
- New Britain
- State
- CT
- Zip
- 06053-1733
- Phone Number
- 860-938-5602
License Information
- License Number (1)
- 2043
- License State (1)
- CT
- Taxonomy (1)
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialist/Technologist, Athletic Trainers near Southington, CT
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Frequently Asked Questions
What is the NPI number of Amanda M Jacobs?
The NPI number of Amanda M Jacobs is 1386485167. It was assigned on June 4, 2024 and is currently active in the NPPES registry.
What is the specialty of Amanda M Jacobs?
Amanda M Jacobs is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in CT under license number 2043.
Where does Amanda M Jacobs practice?
The practice location is 720 Pleasant St, Southington, CT 06489-2752. The office can be reached at 860-628-3229 (phone) or 860-628-3397 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386485167 directly on the NPPES registry website.