What is Tatiana Jaacks's NPI number?

Tatiana Jaacks's National Provider Identifier (NPI) is 1295622553, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Tatiana Jaacks's specialty?

Tatiana Jaacks is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).

Where is Tatiana Jaacks located?

Tatiana Jaacks's practice location on file with NPPES is 14455 W Van Buren St # 100, Goodyear, AZ 85338-9209.

What is Tatiana Jaacks's phone number?

The practice phone number listed in the NPPES registry for Tatiana Jaacks is (248) 410-4704.

Is Tatiana Jaacks's NPI active?

Yes — Tatiana Jaacks's NPI (1295622553) is active in the NPPES registry as of the last update on 2025-08-02.

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Tatiana Jaacks, PA

NPI 1295622553 · Physician Assistant · Goodyear, AZ

Tatiana Jaacks, PA is a Physician Assistant provider in Goodyear, AZ (NPI 1295622553).

Provider details

NPI number: 1295622553
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Physician AssistantPrimary363A00000X
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Basic profile(48/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

14455 W Van Buren St # 100

Goodyear, AZ 85338-9209

Phone: (248) 410-4704

Street-level locationGet directions

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Mailing address