JESSICA REDDING (NPI# 1588909261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588909261 |
| Entity Type | Individual |
| Full Name | JESSICA REDDING |
| Credential | PA-C |
| Practice Address |
333 N 18th Ave Suite #b Pocatello ID 83201-3358 |
| Mailing Address |
333 N. 18th Avenue Suite #b Pocatello ID 83201 |
| Practice Telephone | 2082322146 |
| Practice Fax Number | 2082322770 |
| Mailing Telephone | 2082322146 |
| Mailing Fax Number | 2082322770 |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2019-10-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA-1033 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
11280373-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417517632 | Jessica Linette Redding | Nurse Practitioner | 2603 Stafford Ave, Scranton, PA 18505-3608 | 2019-06-19 |
| 1508337122 | Jessica Noelle Redding | Nurse Anesthetist, Certified Registered | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2018-12-07 |
| 1518481464 | Jessica Redding | Counselor | 3020 Bailey Ave, Buffalo, NY 14215-2814 | 2017-08-02 |
| 1679973135 | Jessica Lynn Redding | Occupational Therapy Assistant | 2800 Willow Grove Rd, Manhattan, KS 66502-2096 | 2014-09-02 |
| Street Address |
333 N 18TH AVE SUITE #B |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-3358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821083544 | Kraig C Mcgee | Otolaryngology | 333 N 18th Ave, # B-3, Pocatello, ID 83201-3358 | 2005-09-19 |
| 1649710351 | Sei Mobile Anesthesia, Pllc | Anesthesiology | 333 N 18th Ave, Suite A, Pocatello, ID 83201-3326 | 2017-02-28 |
| 1669874012 | Teton Spine Pllc | Neurological Surgery | 333 N 18th Ave, Suite B4, Pocatello, ID 83201 | 2014-09-17 |
| 1497154207 | Richard Aaron Marler | Nurse Anesthetist, Certified Registered | 333 N 18th Ave, Bldg A, Pocatello, ID 83201-3358 | 2014-08-18 |
| 1750701199 | Sei Anesthesia Pllc | Anesthesiology | 333 N 18th Ave, Bldg A, Pocatello, ID 83201-3358 | 2014-04-24 |
| 1770877888 | Anthony Joseph Md Inc | Family Medicine | 333 N 18th Ave, Suite D-1, Pocatello, ID 83201-3358 | 2011-06-06 |
| 1386960821 | June E Heilman Md Pa | Surgery | 333 N 18th Ave, Pocatello, ID 83201-3358 | 2010-04-08 |
| 1225262306 | Jonathan T Morgan | Neurological Surgery | 333 N 18th Ave, Suite B4, Pocatello, ID 83201 | 2009-05-05 |
| 1265670061 | M Elizabeth Gerard Md Pllc | Psychiatry & Neurology | 333 N 18th Ave, Ste B4, Pocatello, ID 83201 | 2009-02-02 |
| 1265683445 | Pocatello Orthopaedics and Sports Medicine Institute Pa | Specialist | 333 N 18th Ave, Suite D-1, Pocatello, ID 83201-3358 | 2008-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962832923 | Dale Mckay Belnap | Physician Assistant | 444 Hospital Way Ste 710, Pocatello, ID 83201-2745 | 2013-11-12 |
| 1659689362 | Steven L Nelson | Physician Assistant | 560 Memorial Dr, Pocatello, ID 83201-4073 | 2010-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218089 | Michael Keegan Huntsman | Physician Assistant | 730 Aspen Ave, Shelley, ID 83274-1400 | 2020-06-03 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1831647197 | Nicholas Hensley | Physician Assistant | 3155 Channing Way Ste B, Idaho Falls, ID 83404-7534 | 2016-09-15 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1982937066 | Don H Curtis | Physician Assistant | 348 W Bloomington Dr, Meridian, ID 83642-6942 | 2009-09-08 |
| 1801073655 | Tracy D. Mickelsen | Physician Assistant | 3015 E Magic View Dr, Meridian, ID 83642-3743 | 2008-01-23 |
| 1356437172 | Clare Elizabeth York | Physician Assistant | 805 Main St., Salmon, ID 83467 | 2006-10-05 |
| 1891707618 | Brian Keith Lachapelle | Physician Assistant | 6140 W Curtisan, Ste 102, Boise, ID 83704 | 2006-08-12 |
| 1992743215 | Bill Stahlberg | Physician Assistant | 211 Forest St, Mccall, ID 83638-5256 | 2006-06-02 |
| 1780641530 | Alicia R Borst | Physician Assistant | 3960 W. Wainwright, Boise, ID 83713 | 2006-04-26 |
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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.