DR. JACOB CHRISTOPHER MEMMOTT NP NPI 1497370001

NPI Information

  • NPI: 1497370001
  • Provider Name: DR. JACOB CHRISTOPHER MEMMOTT, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1644 CENTRAL AVE
    MCKINLEYVILLE, CA
    ZIP 95519
  • Phone: (707) 839-3068

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NPI Details

DR. Jacob Christopher Memmott, NP is a family nurse practitioner in Mckinleyville, CA with 12 years of experience. DR. Jacob Christopher Memmott, NP NPI is 1497370001. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1644 CENTRAL AVE
MCKINLEYVILLE, CA
ZIP 95519-342
Phone: (707) 839-3068

The NPI 1497370001 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/9/2020 and was last updated on 6/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily95030069CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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