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Deactivated NPI 1417292277 Deactivated / Inactive NPI Male Practitioner

Dr. Gary J. Jacobs , PhD

Speech-Language Pathologist • Mesquite, NV

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gary Jacobs has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 05, 2012
NPI Deactivation Date June 19, 2025
Total Practice Duration ~13 Years of Practice (2012 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Gary Jacobs, PhD was a registered Speech-Language Pathologist practicing in Mesquite, NV. Throughout an active medical career spanning 13 years, Dr. Jacobs provided care at the practice location at 340 FALCON RIDGE PKWY until profile deactivation on 2025-06-19.

Practice Location & Contact Primary Location

Practice Address

340 Falcon Ridge Pkwy
Building 500

Mesquite, NV 890278850

Telephone 7023463105
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Mesquite, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Mesquite, NV (916 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NV SP-1409

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Matthew Thomas

Physical Therapist

NPI 1043473879
NPI 1043790298

Doctor of Physical Therapy

Jeffrey Lee , PT

Physical Therapist

NPI 1053093575

Physical Therapist

Dr. Todd Hartley , DPT

Physical Therapist

NPI 1295147148

Doctor of Physical Therapy

NPI 1477556132

PTMSPTOCS

Dr. Chaston Pola , DPT

Physical Therapist - Orthopedic

NPI 1568004711

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 19, 2025

Record deactivated on June 19, 2025

NPI Profile Active December 05, 2012

NPI status registered as active in NPPES database

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Updated Practice Location December 05, 2012

Registered at 340 FALCON RIDGE PKWY, BUILDING 500, MESQUITE, NV 890278850 (Tel: 7023463105)

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Updated Business Mailing Address December 05, 2012

Registered at PO BOX 522, MESQUITE, NV 890240522 (Tel: 2089646441)

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Provider Name / Credentials Updated December 05, 2012

Recorded as GARY JACOBS, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2012

Speech-Language Pathologist (License #SP-1409 in NV)

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Initial NPI Registration & Enumeration December 05, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417292277
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2012
Last Update: December 05, 2012
Deactivation Date: June 19, 2025

Mailing Address

Po Box 522

Mesquite, NV 890240522

Phone: 2089646441

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.