MARK A JEPSON PLLC (NPI# 1114335221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114335221 |
Entity Type | Organization |
Organization Name | MARK A JEPSON PLLC |
Other Organization Name | MARK ALAN JEPSON |
Practice Address |
413 N Allumbaugh St Ste. 101 Boise ID 83704-9212 |
Practice Telephone | 2083231125 |
Practice Fax Number | 2083239604 |
Mailing Telephone | 2083231125 |
Mailing Fax Number | 2083239604 |
Enumeration Date | 2014-08-01 |
Last Update Date | 2015-02-03 |
Authorized Official Name | MARK ALAN JEPSON (OWNER) |
Authorized Official Telephone | 2083911043 |
Authorized Official Credential | NP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
NP-902A | ID | Nursing Service Providers |
Other Name | Type Code |
---|---|
Mark Alan Jepson | Former Legal Business Name - Organization |
Street Address |
413 N ALLUMBAUGH ST STE. 101 |
City | BOISE |
State | ID |
Zip Code | 83704-9212 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245221258 | Brady G Hamilton | Physician Assistant | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9212 | 2005-10-31 |
1518414606 | Emmy Laurie Weathers | Social Worker | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9212 | 2016-09-06 |
1548610272 | Tamara Helfer, M.d., Pllc | Psychiatry & Neurology | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9212 | 2016-06-14 |
1598129728 | Matthew D Pitcher, Do Pllc | Psychiatry & Neurology | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9212 | 2016-04-13 |
1972906824 | Katherine Skelly | Physician Assistant | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9212 | 2014-10-07 |
1265855118 | Jeremy Handy, M.d., Pllc | Psychiatry & Neurology | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9212 | 2014-01-29 |
1730528548 | Idaho Memory & Aging Center Pllc | Psychiatry & Neurology | 413 N Allumbaugh St, Ste# 101, Boise, ID 83704-9212 | 2013-06-14 |
1245597509 | Gail Robison Np Pllc | Nurse Practitioner | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9212 | 2012-04-11 |
1649536418 | Travis Paul Haase | Counselor | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9212 | 2012-04-05 |
1710250543 | Coire Weathers, Md, Pllc | Psychiatry & Neurology | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9212 | 2012-02-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
Find all providers in zip 83704 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528529450 | Cathy Garcia | Registered Nurse | 1720 N Westgate Dr Ste A-1, Boise, ID 83704-7164 | 2019-03-25 |
1033635990 | Jessica Anderson | Registered Nurse | 1720 N Westgate Dr, Boise, ID 83704-7164 | 2017-08-22 |
1265973788 | John Griffin | Registered Nurse | 1720 N Westgate Dr, Suire A-1, Boise, ID 83704-7164 | 2017-03-16 |
1568745362 | Rebecca Jean Winter | Registered Nurse | 1276 W River St, Suite 100, Boise, ID 83702-7066 | 2011-09-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518209196 | Deborah Ann Rush | Registered Nurse | 1550 N Crestmont Dr, Suite E, Meridian, ID 83642-2184 | 2013-03-21 |
1609170448 | Ann Marlowe | Registered Nurse | 1970 E 17th St Ste 202, Idaho Falls, ID 83404-8048 | 2011-01-10 |
1972807675 | Jarica Wadsworth | Registered Nurse | 1970 E 17th St Ste 202, Idaho Falls, ID 83404-8048 | 2011-01-10 |
1285896274 | Patsy Ruth Boatright | Registered Nurse | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2008-06-30 |
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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.