JESSIE MAE JACOBSON MS, LAT, ATC
NPI 1669094538
Specialist/Technologist - Athletic Trainer in Saint Paul, MN

NPI Status: Active since May 13, 2020

Contact Information

1536 HEWITT AVE
SAINT PAUL, MN
ZIP 55104
Phone: (218) 409-8759

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  • Individual
  • Female
  • Specialist/Technologist
  • Athletic Trainer

About JESSIE JACOBSON

This page provides the complete NPI Profile along with additional information for Jessie Jacobson, a provider established in Saint Paul, Minnesota with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1669094538 assigned on May 2020. The practitioner's primary taxonomy code is 2255A2300X with license number 3635 (MN). The provider is registered as an individual and her NPI record was last updated August 2025.

NPI
1669094538
Provider Name
JESSIE MAE JACOBSON MS, LAT, ATC
Gender
Female
Entity Type
Individual
Location Address
1536 HEWITT AVE SAINT PAUL, MN 55104
Location Phone
(218) 409-8759
Mailing Address
7307 BRUNSWICK AVE N BROOKLYN PARK, MN 55443
Mailing Phone
(218) 409-8759
Is Sole Proprietor?
No
Enumeration Date
05-13-2020
Last Update Date
08-14-2025
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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

Specialist/Technologist Athletic Trainer

Taxonomy Code
2255A2300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
3635
License State
MN
Taxonomy Description
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

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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.
1669094538
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2612909856
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 0 + 9 + 8 + 5 + 6 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1669094538 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 5 providers are registered at the same or nearby location.

DR. KATHRYN O'REGAN RIMSTAD PH.D.

Psychologist

(Counseling)

1536 HEWITT AVE
COUNSELING AND HEALTH SERVICES
SAINT PAUL, MN
ZIP 55104

(651) 523-2204

JODI M METZ MS, PA-C

Physician Assistant

1536 HEWITT AVE
SAINT PAUL, MN
ZIP 55104

(651) 523-2204

CHRISTINE DICKINSON ATC

Specialist/Technologist

(Athletic Trainer)

1536 HEWITT AVE
SAINT PAUL, MN
ZIP 55104

(801) 560-2213

TARA NICOLE DOOLEY ATC

Specialist/Technologist

(Athletic Trainer)

1536 HEWITT AVE
SAINT PAUL, MN
ZIP 55104

(651) 523-3094

BLAINE ANTHONY BIRTZER DAT, LAT, ATC

Specialist/Technologist

(Athletic Trainer)

1536 HEWITT AVE
SAINT PAUL, MN
ZIP 55104

(651) 523-3094

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669094538, enumerated as an "individual" on May 13, 2020.

The provider is located at 1536 HEWITT AVE SAINT PAUL, MN 55104 and the phone number is (218) 409-8759.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.