NICHOLE ANN JEPPESEN (NPI# 1275794851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275794851 |
| Entity Type | Individual |
| Full Name | NICHOLE ANN JEPPESEN |
| Credential | FNP-C |
| Practice Address |
393 E 2nd N Rexburg ID 83440-1605 |
| Practice Telephone | 2083565401 |
| Practice Fax Number | 2083563111 |
| Mailing Telephone | 2083565401 |
| Mailing Fax Number | 2083563111 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2010-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | NP-865 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP-865A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
393 E 2ND N |
| City | REXBURG |
| State | ID |
| Zip Code | 83440-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336140664 | Joseph Watson | Family Medicine | 393 E 2nd N, Rexburg, ID 83440-1605 | 2005-08-09 |
| 1871103499 | Kylin Kovac Dpm Pllc | Podiatrist | 393 E 2nd N, Rexburg, ID 83440-1605 | 2020-08-07 |
| 1609485457 | Kathy Howard | Counselor | 393 E 2nd N, Rexburg, ID 83440-1605 | 2020-07-28 |
| 1306497227 | Isaac Nelson | Counselor | 393 E 2nd N, Rexburg, ID 83440-1605 | 2019-09-23 |
| 1013562198 | Sharon Joyce Reaser | Marriage & Family Therapist | 393 E 2nd N, Rexburg, ID 83440-1605 | 2019-08-06 |
| 1558828236 | Centerpoint Psychiatry and Family Practice | Psychiatry & Neurology | 393 E 2nd N, Rexburg, ID 83440-1605 | 2019-02-28 |
| 1417427501 | Centerpoint Counseling Services, LLC | Social Worker | 393 E 2nd N, Rexburg, ID 83440 | 2018-11-30 |
| 1003312489 | Adriann J Wilcox | Family Medicine | 393 E 2nd N, Rexburg, ID 83440-1605 | 2018-04-04 |
| 1417455668 | Jana Rae O'rullian | Social Worker | 393 E 2nd N, Rexburg, ID 83440-1605 | 2018-01-23 |
| 1316460264 | Madison Co Memorial Hospital | General Practice | 393 E 2nd N, Rexburg, ID 83440-1605 | 2017-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235768490 | Henry's Fork Surgery Center Pllc | Clinic/Center | 23 Sawtelle Ave, Rexburg, ID 83440 | 2020-04-08 |
| 1952956906 | Shane Ellis Withers | Pharmacist | 164 E. Main, Rexburg, ID 83440 | 2019-08-06 |
| 1316392285 | Emma Anderson | Speech-Language Pathologist | 36 Professional Plaza Suite 110, Rexburg, ID 83440 | 2016-04-28 |
| 1851755524 | Sandra Frickey | Speech-Language Pathologist | 1087 Summers Drive, Premier Therapy Associates, Rexburg, ID 83440 | 2016-04-08 |
| 1275997215 | Kerry Denney | Counselor | 333 Walker Drive, Rexburg, ID 83440 | 2016-04-06 |
| 1467837583 | Wal-mart Stores, Inc. | Technician/Technologist | 303 E Moody Rd, Rexburg, ID 83440 | 2015-07-30 |
| 1649692609 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 410 W 1st N, Rexburg, ID 83440 | 2014-01-10 |
| 1043652571 | Creed Simon Webster | Counselor | 30 S 2nd W, Rexburg, ID 83440 | 2013-07-25 |
| 1033461660 | James Cannon Allen Dds PC | Dentist | 106 E 1st North, Rexburg, ID 83440 | 2012-10-05 |
| 1417217316 | Shelby Dee Woolstenhulme | Speech-Language Pathologist | 450 E. Main Street, Rexburg, ID 83440 | 2012-05-24 |
| Find all providers in zip 83440 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518517317 | Joseph Michael Haeberle | Nurse Practitioner | 272 Mark Ave, Rexburg, ID 83440-2563 | 2019-09-13 |
| 1407405111 | Analee Fish | Nurse Practitioner | Byui Student Health Center, Rexburg, ID 83460-0001 | 2019-09-05 |
| 1982830345 | Rachelle Jones | Nurse Practitioner | 556 Trejo St Ste B, Rexburg, ID 83440-2626 | 2009-05-29 |
| 1588654628 | Glade Southam | Nurse Practitioner | Byu - Idaho, 100 Shc, Rexburg, ID 83460-2010 | 2005-10-27 |
| 1972504231 | Rosemary H Brown | Nurse Practitioner | 859 S Yellowstone Hwy, Suite 1101, Rexburg, ID 83440-5293 | 2005-08-09 |
| 1851916365 | Angela Peterson | Nurse Practitioner | 37 S 2nd E, Rexburg, ID 83440-1906 | 2020-06-10 |
| 1629515556 | Fay Call | Nurse Practitioner | 15 Madison Professional Park, Rexburg, ID 83440-2057 | 2017-01-30 |
| 1215471065 | Troy Hanson | Nurse Practitioner | 450 E Main St, Rexburg, ID 83440-2048 | 2016-12-13 |
| 1669853719 | Jamie Gudmunson | Nurse Practitioner | 32 W 1st S, Rexburg, ID 83440-1810 | 2015-06-15 |
| 1023417037 | Bryce Campbell | Nurse Practitioner | 450 E Main St, Rexburg, ID 83440 | 2014-08-14 |
| Find all providers in REXBURG | ||||
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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.