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JACOB REX ANDERSEN
NPI 1811799372
Student in an Organized Health Care Education/Training Program in Glendale, AZ

Active since March 26, 2025
18701 N 67TH AVE, GLENDALE, AZ 85308(623) 561-1000 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jacob Rex Andersen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB REX ANDERSEN (NPI 1811799372) is an individual student in an organized health care education/training program in Glendale, Arizona and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1811799372
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB REX ANDERSEN
Location Address18701 N 67TH AVEGlendale, AZ 85308-7100
Mailing Address3971 Joshua LnIdaho Falls, ID 83401-1778 · (208) 881-7679
Phone(623) 561-1000
Sole ProprietorYes
Enumeration DateMarch 26, 2025
NPPES CertifiedMarch 26, 2025
✔ NPI 1811799372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
18701 N 67TH AVE, Glendale, AZ 85308
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENNETH VEIGA DO
Internal Medicine
18701 N 67TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 561-1000
ANA LILIA NAVA CAMPOS RN
Nurse Anesthetist, Certified Registered
18701 N 67TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 561-1000
MS. TERREN COURTNEY WORTHAM DNP, CRNA
Nurse Anesthetist, Certified Registered
18701 N 67TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 561-1000
VEIGA MEDICAL PLLC
Internal Medicine (Infectious Disease)
18701 N 67TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 561-1000
JUAN N ALIAGA DNP, APRN-CRNA
Nurse Anesthetist, Certified Registered
18701 N 67TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 561-1000
GENERAL AND ROBOTIC SURGERY LLC
Surgery
18701 N 67TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 561-1000
NIKITA NALAM DO
Hospitalist
18701 N 67TH AVE
GLENDALE, AZ 85308
Maricopa County (877) 934-9355
DR. RAJ SHAH
Internal Medicine
18701 N 67TH AVE
GLENDALE, AZ 85308
Maricopa County (844) 422-7296

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Andersen's NPI number?

The NPI number for Jacob Andersen is 1811799372. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Where is Jacob Andersen located?

Jacob Andersen practices at 18701 N 67th Ave, Glendale, AZ 85308. The listed phone number is (623) 561-1000.

What is Jacob Andersen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacob Andersen was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.