MR. STEVEN I JESSUP (NPI# 1144408618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144408618 |
| Entity Type | Individual |
| Full Name | MR. STEVEN I JESSUP |
| Credential | M.A. LIC. ATC |
| Practice Address |
980 W Ironwood Dr Suite 207 Coeur D Alene ID 83814-2668 |
| Mailing Address |
980 Ironwood Dr. Suite 207 Coeur D Alene ID 83814 |
| Practice Telephone | 2087702971 |
| Practice Fax Number | 2087702974 |
| Mailing Telephone | 2087702971 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2014-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT-260 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
980 W IRONWOOD DR SUITE 207 |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477552008 | Jean Marie Prince | Pediatrics | 980 W Ironwood Dr, Ste 302, Coeur D Alene, ID 83814-2604 | 2005-07-15 |
| 1538619630 | Breanne Huss | Advanced Practice Midwife | 980 W Ironwood Dr, Ste 306, Coeur D Alene, ID 83814-2668 | 2016-10-12 |
| 1760708044 | Faith Marie Krull | Midwife | 980 W Ironwood Dr, Suite 306, Coeur D Alene, ID 83814-2668 | 2010-04-13 |
| 1417270158 | Christy L Riley | Pediatrics | 980 W Ironwood Dr, Suite 302, Coeur D Alene, ID 83814-2668 | 2010-03-09 |
| 1114161551 | Marston T Westbrook, Dds, LLC | Dentist | 980 W Ironwood Dr, Suite 301, Coeur D Alene, ID 83814-2668 | 2009-04-29 |
| 1619110822 | Kevin Jay Schultz | Obstetrics & Gynecology | 980 W Ironwood Dr, Suite 304, Coeur D Alene, ID 83814-2668 | 2009-04-17 |
| 1851545628 | Kathyrn Ann Sumner Kelso | Counselor | 980 W Ironwood Dr, Suite 101, Coeur D Alene, ID 83814-2668 | 2008-11-06 |
| 1609029826 | Julie M. Meltzer | Obstetrics & Gynecology | 980 W Ironwood Dr, 306, Coeur D Alene, ID 83814-2668 | 2008-10-31 |
| 1518123660 | Katie Renee' Knapp | Massage Therapist | 980 W Ironwood Dr, Ste 101, Coeur D Alene, ID 83814-2668 | 2008-07-29 |
| 1255509410 | Apple Family Care Pllc | Family Medicine | 980 W Ironwood Dr, Suite 201, Coeur D Alene, ID 83814-2668 | 2008-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326606930 | Logan Clayton Sumner | Specialist/Technologist | 2803 N Fruitland Ln, Coeur D Alene, ID 83815-9351 | 2019-05-30 |
| 1588159073 | Maria Isabel Aparicio | Specialist/Technologist | 5530 N 4th St, Coeur D Alene, ID 83815-9266 | 2018-06-27 |
| 1134622137 | Quinn Marianno | Specialist/Technologist | 1000 W Garden Ave, Coeur D Alene, ID 83814-2161 | 2018-03-15 |
| 1477780179 | Randy Eugene Boswell | Specialist/Technologist | 1000 W Garden Ave, Coeur D Alene, ID 83814-2161 | 2009-06-19 |
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| 1811515067 | Lexis Fouts | Specialist/Technologist | 617 W Taylor Ave # A, Moscow, ID 83843-2411 | 2020-07-13 |
| 1073131629 | Shaelynn Meek | Specialist/Technologist | 1350 E Warm Springs Ave, Post Falls, ID 83854-9693 | 2020-07-09 |
| 1063039204 | Jadelyn Taylor Eisele | Specialist/Technologist | 707 Railroad St Apt 4, Moscow, ID 83843-2381 | 2020-07-04 |
| 1366069593 | Tyler Hempfling Volkmann | Specialist/Technologist | 924 Indian Hills Dr, Moscow, ID 83843-5096 | 2020-07-03 |
| 1174149389 | Santiago A Segura Barron | Specialist/Technologist | Holt Arena 550 Memorial Drive Building 50, Pocatello, ID 83209-0001 | 2020-06-23 |
| 1942824545 | Maya S Gough | Specialist/Technologist | 10284 W Virginia City St, Star, ID 83669-5619 | 2020-05-31 |
| 1013531680 | Dalton Tanner Pitts | Specialist/Technologist | 1433 W A St, Moscow, ID 83843-3274 | 2020-05-29 |
| 1083238646 | Shyla Marie Flavel | Specialist/Technologist | 1022 W Recess Way, Kuna, ID 83634-2459 | 2020-05-29 |
| Find all providers with the same taxonomy | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
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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.