MR. JEREMY ROYAL (NPI# 1043527302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043527302 |
| Entity Type | Individual |
| Full Name | MR. JEREMY ROYAL |
| Credential | M.A., LPC |
| Practice Address |
228 Shoup Ave W Twin Falls ID 83301-5022 |
| Practice Telephone | 2087346760 |
| Practice Fax Number | 2087346764 |
| Mailing Telephone | 2087346760 |
| Mailing Fax Number | 2087346764 |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC-4162 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730382821 | Jeremy Todd Royal | Radiology | 1000 Johnson Ferry Rd, Atlanta, GA 30342 | 2007-06-07 |
| Street Address |
228 SHOUP AVE W |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-5022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164469870 | St Lukes Magic Valley Regional Medical Center Ltd | Psychiatric Unit | 228 Shoup Ave W, Twin Falls, ID 83301-5022 | 2006-06-01 |
| 1780150979 | Michelle Harcourt | Registered Nurse | 228 Shoup Ave W, Twin Falls, ID 83301-5022 | 2018-10-16 |
| 1528441631 | Lisa Catherine Reeves | Social Worker | 228 Shoup Ave W, Twin Falls, ID 83301-5022 | 2015-07-07 |
| 1417330119 | St. Luke's Canyon View | Psychiatric Unit | 228 Shoup Ave W, Twin Falls, ID 83301-5022 | 2015-06-30 |
| 1154723120 | Jeremiah W Neibling | Nurse Practitioner | 228 Shoup Ave W, Twin Falls, ID 83301-5022 | 2014-09-22 |
| 1841535267 | Mildred Azucena Gaitan-gonzalez | Social Worker | 228 Shoup Ave W, Twin Falls, ID 83301-5022 | 2012-12-11 |
| 1881967511 | Ronda Elizabeth Case | Social Worker | 228 Shoup Ave W, Twin Falls, ID 83301-5022 | 2012-02-10 |
| 1053628339 | Pat M Kaes | Counselor | 228 Shoup Ave W, Twin Falls, ID 83301-5022 | 2010-09-08 |
| 1548572274 | Umesh Bhandari | Psychiatry & Neurology | 228 Shoup Ave W, Twin Falls, ID 83301 | 2010-07-10 |
| 1326161480 | Lisa C Mccue Pugrud | Counselor | 228 Shoup Ave W, Twin Falls, ID 83301-5022 | 2007-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563505 | Family Health Services Corporation | Counselor | 607 2nd Ave E, Twin Falls, ID 83301-7128 | 2020-06-23 |
| 1306462593 | Family Health Services Corporation | Counselor | 452 Caswell Ave W, Twin Falls, ID 83301-3700 | 2020-06-23 |
| 1891319604 | Erin Michelle Dunning | Counselor | 459 Locust St N Ste 102, Twin Falls, ID 83301-7324 | 2020-06-08 |
| 1841855798 | Shelly Marie Osborne | Counselor | 112 Shoshone St E Ste 2, Twin Falls, ID 83301-6185 | 2019-05-07 |
| 1770072522 | Matthew Jordan Kezele | Counselor | 1363 Fillmore St Ste B, Twin Falls, ID 83301-3392 | 2018-05-08 |
| 1841713385 | Jessica Lynn Quaintance | Counselor | 1411 Falls Ave E Ste 207, Twin Falls, ID 83301-3455 | 2017-07-17 |
| 1215375266 | Michael S Bezas | Counselor | 722 Cheney Dr, Twin Falls, ID 83301-3472 | 2013-06-12 |
| 1699013482 | Janice Carson Nielsen | Counselor | 1411 Falls Ave.w, Suite 205, Twin Falls, ID 83301 | 2013-01-29 |
| 1114203031 | Chester C Mardis | Counselor | 493 Eastland Dr., Twin Falls, ID 83301 | 2011-10-24 |
| 1710295845 | Lucy Brazil-wilkes | Counselor | 834 Falls Ave Ste 1050, Twin Falls, ID 83301-3363 | 2010-09-23 |
| Find all providers in TWIN FALLS | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on MR. JEREMY ROYAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.