JAYNE STEVENSON (NPI# 1285779496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285779496 |
| Entity Type | Individual |
| Full Name | JAYNE STEVENSON |
| Credential | M.D. |
| Practice Address |
802 W Bannock St Suite 405 Boise ID 83702-5837 |
| Practice Telephone | 2083367341 |
| Practice Fax Number | 2083367342 |
| Mailing Telephone | 2083367341 |
| Mailing Fax Number | 2083367342 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | M8899 | ID | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | REGENCE BLUE SHIELD | 000010147087 | 01 |
| ID | BLUE CROSS OF IDAHO | 75739 | 01 |
| Street Address |
802 W BANNOCK ST SUITE 405 |
| City | BOISE |
| State | ID |
| Zip Code | 83702-5837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144365362 | Kathryn Still | Nurse Practitioner | 802 W Bannock St, Suite 405, Boise, ID 83702-5837 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760487771 | Sinus Center - Idaho, Pa | Legal Medicine | 727 E Riverpark Ln, Ste 200, Boise, ID 83706-4097 | 2005-06-16 |
| 1144341637 | The Pediatric and Adolescent Center, Inc. | Legal Medicine | 6148 N Discovery Way, Suite 100, Boise, ID 83713-0201 | 2007-04-02 |
| 1306843693 | James Mcghee | Legal Medicine | 727 E Riverpark Ln, Ste 100, Boise, ID 83706-4097 | 2005-07-01 |
| 1295730208 | Allergy Clinic - Idaho, Inc. | Legal Medicine | 727 E Riverpark Ln, Ste 100, Boise, ID 83706-4097 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629070636 | Velma Susan Bradford | Legal Medicine | 2275 S Eagle Rd Ste 120, Meridian, ID 83642-2620 | 2005-08-10 |
| 1417286451 | C Robert Pratt | Legal Medicine | 510 Oak St, Room 5, Nezperce, ID 83543-5064 | 2009-12-22 |
| 1053640094 | Rodney D Piller | Legal Medicine | 510 Oak St, Room 5, Nezperce, ID 83543-5064 | 2009-12-22 |
| 1467780429 | Lewis County Idaho Coroner | Legal Medicine | 510 Oak St, Room 5, Nezperce, ID 83543-5064 | 2009-12-01 |
| 1831272772 | Kenneth C. Romney | Legal Medicine | 388 Martin St, Twin Falls, ID 83301-4544 | 2006-10-23 |
| 1770539298 | Idaho Arthritis & Osteoporosis Center PC | Legal Medicine | 3277 E Louise Dr, Suite 350, Meridian, ID 83642-9359 | 2006-05-26 |
| 1487630968 | Stephen K Kronholm | Legal Medicine | 2315 8th St, Lewiston, ID 83501-7301 | 2005-12-16 |
| 1942202957 | Creighton Alves Hardin | Legal Medicine | 1151 Hospital Way, Building F, Pocatello, ID 83201-5091 | 2005-08-10 |
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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.