MRS. JENNIFER CARRIE LESSO (NPI# 1225396211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225396211 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER CARRIE LESSO |
| Other Name | MISS JENNIFER CARRIE NEWHALL |
| Credential | NP-C |
| Practice Address |
607 W Main St Grangeville ID 83530-1345 |
| Practice Telephone | 2089831700 |
| Practice Fax Number | 2089834665 |
| Mailing Telephone | 2089831700 |
| Mailing Fax Number | 2089834665 |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2020-03-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | N-33959 | ID | Nursing Service Providers |
| N | 207Q00000X | Family Medicine | NP-1366A | ID | Allopathic & Osteopathic Physicians |
| Y | 363L00000X | Nurse Practitioner | NP-1366A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1512 12th Ave Rd, Nampa, ID 836866008 | 2084635000 |
| Street Address |
607 W MAIN ST |
| City | GRANGEVILLE |
| State | ID |
| Zip Code | 83530-1345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063499010 | Daniel C Griffis | Family Medicine | 607 W Main St, Grangeville, ID 83530-1345 | 2005-12-29 |
| 1235745365 | Katie Francis Nemeth | Physician Assistant | 607 W Main St, Grangeville, ID 83530-1345 | 2020-09-23 |
| 1306460852 | Susan Christine Smith | Registered Nurse | 607 W Main St, Grangeville, ID 83530-1345 | 2020-06-01 |
| 1164966271 | Cardinal Health 132 LLC | Pharmacy | 607 W Main St, Suite 100, Grangeville, ID 83530-1345 | 2016-12-08 |
| 1164872115 | Kelby Jon Wilson | Family Medicine | 607 W Main St, Grangeville, ID 83530-1345 | 2016-06-20 |
| 1295189041 | Julie Hammatt | Registered Nurse | 607 W Main St, Grangeville, ID 83530-1345 | 2016-04-19 |
| 1609255116 | Michael Matthews | Family Medicine | 607 W Main St, Grangeville, ID 83530-1345 | 2015-05-29 |
| 1588069678 | Syringa General Hospital District Cif | Clinic/Center | 607 W Main St, Grangeville, ID 83530-1345 | 2014-10-31 |
| 1205252483 | Melissa Lane | Physical Therapist | 607 W Main St, Grangeville, ID 83530-1345 | 2014-03-11 |
| 1073802492 | Syringa General Hospital District Cif | Clinic/Center | 607 W Main St, Grangeville, ID 83530-1345 | 2011-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386197424 | Tolo Tranportation LLC | Non-emergency Medical Transport (VAN) | 78 Poor Farm Rd, Grangeville, ID 83530 | 2016-07-25 |
| 1043689441 | Derek R Wynn | Physician Assistant | 607 W Main Street, Grangeville, ID 83530 | 2015-09-16 |
| 1528468139 | Joanne M Belch | Counselor | 83 Highway 95 North, Camas Professional Counseling, Grangeville, ID 83530 | 2014-09-02 |
| 1679875462 | Oi Min Anthony Chai | Physical Therapist | 183 Farrens Creek Lane, Grangeville, ID 83530 | 2010-11-30 |
| 1346569647 | Valleyview Recovery | Case Management | 109 S. Mill St., Grangeville, ID 83530 | 2010-05-26 |
| 1760503676 | Clearwater Counseling | Counselor | 318 E. Main, Grangeville, ID 83530 | 2007-04-02 |
| 1659452019 | Bradley J Schaff | Dentist | 615 W North St, Grangeville, ID 83530 | 2006-10-18 |
| 1518051366 | Wayne L Hollopeter | Family Medicine | 721 W. North Street, Grangeville, ID 83530 | 2006-10-03 |
| 1417252719 | Syringa General Hospital District Cif | General Acute Care Hospital | 607 West Main Street, Grangeville, ID 83530 | 2011-01-18 |
| 1669553020 | Allen Raymond Chenoweth | Dentist | 615 W North St, Grangeville, ID 83530 | 2006-10-18 |
| Find all providers in zip 83530 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902836802 | William Mark Imus Jr. | Nurse Practitioner | 610 Nw 2nd St, Grangeville, ID 83530-1244 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039988 | Seth Thomas Six | Nurse Practitioner | 803 Mill Rd, Lewiston, ID 83501-0745 | 2020-09-25 |
| 1255947255 | Brandon Smith | Nurse Practitioner | 5067 Camden St, Chubbuck, ID 83202-3501 | 2020-09-16 |
| 1407469166 | Mmg LLC | Nurse Practitioner | 80 Cottonwood Ct Ste 150, Eagle, ID 83616-6577 | 2020-08-24 |
| 1588288336 | Katina Ross | Nurse Practitioner | 11695 W Baserri Dr, Boise, ID 83709-1307 | 2020-06-07 |
| 1164043162 | Slavik Osipchuk | Nurse Practitioner | 2329 W Root Creek St, Meridian, ID 83646-4678 | 2020-04-30 |
| 1538708862 | Kay Dawn Martens | Nurse Practitioner | 334 E 200 S, Burley, ID 83318-5433 | 2020-01-03 |
| 1760025639 | Kimberly Watson | Nurse Practitioner | 3536 W Moon Lake St, Meridian, ID 83646-8304 | 2019-10-23 |
| 1932741212 | Kylie B Di Lulo | Nurse Practitioner | 1309 E Fall Ct, Boise, ID 83706-5076 | 2019-10-08 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1649824277 | Bryana Michel Hinck | Nurse Practitioner | 150 W Broderick Dr, Meridian, ID 83646-0009 | 2019-07-31 |
| Find all providers with the same taxonomy | ||||
| City | GRANGEVILLE |
| Zip Code | 83530 |
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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.