JEFFREY C ANDERSON (NPI# 1497197891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497197891 |
| Entity Type | Individual |
| Full Name | JEFFREY C ANDERSON |
| Credential | NP |
| Practice Address |
2420 E 25th St Idaho Falls ID 83404-7549 |
| Practice Telephone | 2085421026 |
| Practice Fax Number | 2085282945 |
| Mailing Telephone | 2085421026 |
| Mailing Fax Number | 2085282945 |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2013-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
NP-1314A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | STATE LICENSE | NP-1314A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326524596 | Jeffrey Anderson | Dentist | 2304 E Bidwell St # 100, Folsom, CA 95630-3455 | 2018-07-11 |
| 1295238830 | Jeffrey Todd Anderson | Occupational Therapist | 100 Woodbrook Dr, Charlottesville, VA 22901-1147 | 2018-03-09 |
| 1902263700 | Jeffrey Anderson | Durable Medical Equipment & Medical Supplies | 420 S 100 E, Farmington, UT 84025-2276 | 2016-01-25 |
| 1891151015 | Jeffrey Anderson | Counselor | 555 S Palm Canyon Dr Ste A202, Palm Springs, CA 92264-7210 | 2016-01-04 |
| 1801294558 | Jeffrey Paul Anderson | Registered Nurse | 1992 S Gregg Rd, Akron, OH 44319-1306 | 2014-12-11 |
| 1013336890 | Jeffrey Anderson | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street, Box 356410, University of Washington, Department of Surgery, Seattle, WA 98195 | 2014-04-09 |
| 1700223708 | Jeffrey Davis Anderson | Dentist | 5754 Antioch Rd, Merriam, KS 66202-2015 | 2013-05-30 |
| 1659608578 | Jeffrey G. Anderson | Spec/Tech, Pathology | Psc 461, Medical Unit, Fpo, AP 96521-0050 | 2009-11-13 |
| 1326371212 | Jeffrey Alan Anderson | Physician Assistant | 410 Sheridan Ave - 529th Rsc, Attn: Regimental Aid Station, Fort Myer, VA 22211 | 2009-09-10 |
| 1306094420 | Jeffrey Scott Anderson | Counselor | 226 Linda Ave., Hawthorne, NY 10532 | 2008-09-03 |
| Street Address |
2420 E 25TH ST |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-7549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871632786 | Mental Wellness Centers, Inc | Community/Behavioral Health | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2007-02-06 |
| 1295379865 | High Country Behavioral Health | Clinic/Center | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2019-11-06 |
| 1467017889 | Tamra Dee White | Social Worker | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2019-05-01 |
| 1245796101 | Brian Brimhall | Nurse Practitioner | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2019-02-15 |
| 1992276315 | Anne Marie Brasher | Counselor | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2018-12-11 |
| 1932692639 | Sherrie Beth Crawford | Social Worker | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2018-06-08 |
| 1275032815 | Susan Kaye Nielsen | Social Worker | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2018-02-09 |
| 1083133342 | Kaitlyn Elizabeth Green | Counselor | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2017-09-18 |
| 1710431242 | Daniel Mcisaac | Counselor | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2016-08-12 |
| 1245603901 | Pam Brown | Counselor | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2015-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528610532 | Shawn Warren | Nurse Practitioner | 755 Lomax St, Idaho Falls, ID 83401-2786 | 2019-07-10 |
| 1639507551 | Jason Martin | Nurse Practitioner | 13734 S 1st E, Idaho Falls, ID 83404-7852 | 2013-10-31 |
| 1437765344 | Jennifer Christine Maire | Nurse Practitioner | 2001 S Woodruff Ave Ste 9, Idaho Falls, ID 83404-6371 | 2020-09-17 |
| 1922641968 | Anna Blonquist | Nurse Practitioner | 2280 E 25th St, Idaho Falls, ID 83404-7542 | 2019-10-22 |
| 1245796101 | Brian Brimhall | Nurse Practitioner | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2019-02-15 |
| 1033542634 | Nathan Eric Bradfield | Nurse Practitioner | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2013-08-19 |
| 1528346194 | Shanna Neff | Nurse Practitioner | 2375 E Sunnyside Rd Ste C, Idaho Falls, ID 83404-8281 | 2011-07-29 |
| 1922205574 | Family Care Center | Nurse Practitioner | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857952 | Lidia Timofeenko Petersen | Nurse Practitioner | 775 Wayne Ave, Pocatello, ID 83201-3718 | 2020-06-29 |
| 1790302594 | Dumu Psychiatry LLC | Nurse Practitioner | 9428 W Fairview Ave, Boise, ID 83704-8101 | 2020-06-29 |
| 1861024689 | Jessica Erin Bringman | Nurse Practitioner | 3624 23rd St, Lewiston, ID 83501-6121 | 2020-02-10 |
| 1760950604 | Scott A Watkins | Nurse Practitioner | 2836 Cougar Ave, Nampa, ID 83687-9107 | 2018-11-08 |
| 1104309657 | Brigitta Panther | Nurse Practitioner | 418 W Reese St, Boise, ID 83706-6233 | 2018-09-11 |
| 1659870178 | Mark Mcgrath | Nurse Practitioner | 1309 Ponderosa Dr Ste 103, Sandpoint, ID 83864-8278 | 2018-02-10 |
| 1467855403 | Clint Emmett | Nurse Practitioner | 875 Perimeter Dr # Ms 3140, Moscow, ID 83844-2006 | 2014-10-06 |
| 1881027241 | Colleen R Fleming | Nurse Practitioner | 2025 W Park Place, Ste B, Coeur D Alene, ID 83814-2785 | 2013-08-20 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1104191089 | Natasha M Splaine-talbott | Nurse Practitioner | 606 N 3rd Ave Ste 203, Sandpoint, ID 83864-1691 | 2012-03-12 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
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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.