HELENE P EDMO (NPI# 1699767004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699767004 |
| Entity Type | Individual |
| Full Name | HELENE P EDMO |
| Credential | FNP |
| Practice Address |
85 S 5th W Lava Hot Springs ID 83246 |
| Mailing Address |
Po Box 2377 Pocatello ID 83206-2377 |
| Practice Telephone | 2087765202 |
| Practice Fax Number | 2087765614 |
| Mailing Telephone | 2082327862 |
| Mailing Fax Number | 2082327869 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2008-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
NP367A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS - AM FALLS | NPLU9 | 01 |
| ID | BLUE CROSS OF ID - LAVA | NPLW4 | 01 |
| ID | BLUE CROSS - POCATELLO | NPLY0 | 01 |
| ID | BLUE CROSS - MCCAMMON | NPYJ3 | 01 |
| ID | BLUE CROSS - DOWNEY | NPLV6 | 01 |
| ID | BLUE CROSS - ABERDEEN | NPLX2 | 01 |
| Street Address |
85 S 5TH W |
| City | LAVA HOT SPRINGS |
| State | ID |
| Zip Code | 83246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427057926 | Health West, Inc. | Family Medicine | 85 S 5th W, Lava Hot Springs, ID 83246 | 2005-07-18 |
| 1194366013 | Tina Guedes | Nurse Practitioner | 85 S 5th W, Lava Hot Springs, ID 83246 | 2019-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437685799 | Road To Recovery, Inc. | Substance Abuse Rehabilitation Facility | 165 W. Main, Lava Hot Springs, ID 83246 | 2017-05-05 |
| 1033573993 | Therapy In Motion Inc | Substance Abuse Rehabilitation Facility | 178 West Main Street, Lava Hot Springs, ID 83246 | 2016-04-07 |
| 1346633849 | Therapy In Motion Inc | Substance Abuse Rehabilitation Facility | 165 West Main St, Lava Hot Springs, ID 83246 | 2015-03-09 |
| 1851589139 | John C. Fleming | Social Worker | 165 West Main Street, Lava Hot Springs, ID 83246 | 2007-10-11 |
| 1356418412 | Pamela Goodliffe | Dentist | 585 West Booth, Lava Hot Springs, ID 83246-0458 | 2006-11-30 |
| 1437371812 | Robert Brent Hubbard | Radiology | 12888 Porcupine Pass, Lava Hot Springs, ID 83246-0834 | 2007-05-03 |
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891308094 | Brandon Paul Kruse | Nurse Practitioner | 3345 S Fork Ave, Nampa, ID 83686-4855 | 2020-08-26 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1558986521 | Lisa Kay Stimpson | Nurse Practitioner | 1605 Poen Rd, Kuna, ID 83634-1743 | 2020-06-15 |
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1295372308 | Elizabeth Balleweg | Nurse Practitioner | 2306 N 31st St, Boise, ID 83703-5628 | 2019-12-09 |
| 1891264545 | Tina Monique Bossolono-williams | Nurse Practitioner | 1385 Parkview Dr Ste 101, Twin Falls, ID 83301-4084 | 2018-11-23 |
| 1821525452 | Kristin Meshelle Hofmann | Nurse Practitioner | 420 W Main St Ste 206, Boise, ID 83702-7363 | 2017-05-14 |
| 1992237648 | Candice Elaine Adams | Nurse Practitioner | 5108 N Maidstone Way, Boise, ID 83713-1367 | 2017-03-31 |
| 1851832695 | Penny Rea | Nurse Practitioner | 5307 Green Valley Pl, Nampa, ID 83686-5790 | 2017-03-13 |
| 1891176798 | Christine Cooper | Nurse Practitioner | 35 W Idaho St, Weiser, ID 83672 | 2015-06-16 |
| Find all providers with the same taxonomy | ||||
| City | LAVA HOT SPRINGS |
| Zip Code | 83246 |
Please comment or provide details below to improve the information on HELENE P EDMO.
| 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.