JAYNE NELSON (NPI# 1073731196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073731196 |
| Entity Type | Individual |
| Full Name | JAYNE NELSON |
| Credential | PA-C |
| Practice Address |
1910 University Dr Ms-1351 Boise ID 83725-0002 |
| Practice Telephone | 2084261459 |
| Mailing Telephone | 2084261459 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-122 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251096 | Jayne Elizabeth Nelson | Registered Nurse | 515 N 162nd Ave Ste 301, Omaha, NE 68118-2540 | 2019-08-22 |
| 1588944888 | Jayne M. Nelson | Social Worker | 2210 Jackson St, Anderson, IN 46016-4363 | 2011-08-18 |
| Street Address |
1910 UNIVERSITY DR MS-1351 |
| City | BOISE |
| State | ID |
| Zip Code | 83725-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285607598 | Dave Lynn Hammons I | Specialist | 1910 University Dr, Boise, ID 83725-1710 | 2006-02-08 |
| 1548876469 | Rylie Michelle Miller | Specialist/Technologist | 1910 University Dr, Boise, ID 83725-0002 | 2020-09-16 |
| 1700359916 | Taylor Lannea Aylsworth-hayfield | Specialist/Technologist | 1910 University Dr, Boise, ID 83725-0001 | 2019-01-10 |
| 1275071110 | Savannah Knighton | Specialist/Technologist | 1910 University Dr, Boise, ID 83725-0001 | 2017-02-10 |
| 1114462405 | Tyler K Murray | Specialist/Technologist | 1910 University Dr, Boise, ID 83725-0001 | 2016-12-22 |
| 1710352430 | Andrew Wingfield | Counselor | 1910 University Dr, Boise, ID 83725-1351 | 2015-12-07 |
| 1083006274 | Sarah O'brien | Social Worker | 1910 University Dr, Boise, ID 83725-1351 | 2015-02-24 |
| 1790183978 | Brandon Voigt | Specialist/Technologist | 1910 University Dr, Boise, ID 83725-1020 | 2014-12-19 |
| 1962800425 | Syringa Stark | Specialist/Technologist | 1910 University Dr, Boise, ID 83725-1020 | 2014-12-16 |
| 1063812717 | Seth Rede | Specialist/Technologist | 1910 University Dr, Boise, ID 83725-1021 | 2014-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194276550 | Dylan E Schmick | Specialist/Technologist | 1910 University Drive, Boise, ID 83725 | 2016-10-20 |
| 1770183089 | Boise State University | Clinical Medical Laboratory | Bsu Science Bld Room 239 2133 W Cesar Chavez Ln, Boise, ID 83725-0001 | 2020-10-27 |
| 1386053213 | Keita Shimada | Specialist | 1910 University Dr # Ms 1020, Boise, ID 83725-0001 | 2014-08-05 |
| 1275815904 | Christian Gelok | Nurse Practitioner | 1910 University Dr # Ms 1351, Boise, ID 83725-0001 | 2011-09-20 |
| 1750680849 | Alison Radcliffe | Psychologist | 1529 S Belmont St, Boise, ID 83725-0001 | 2011-03-15 |
| 1336477207 | Rd Boardman | Psychologist | Health Services 1529 Belmont St, Boise, ID 83725-0001 | 2009-12-03 |
| 1194865444 | Boise State Health Center | Clinic/Center | 2103 University Dr, Boise, ID 83725-0001 | 2007-02-07 |
| 1033154802 | James Floyd Spooner | Specialist/Technologist | Boise State University, 1910 University Dr, Boise, ID 83725-0001 | 2006-06-17 |
| 1750947701 | Monique Victoria Barber | Counselor | 1529 Belmont St, Boise, ID 83725-0001 | 2019-05-15 |
| 1033551015 | Tanna Susan Willis | Massage Therapist | 1529 Belmont St, Boise, ID 83725-0001 | 2013-07-19 |
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| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073915963 | Jessica Bishop | Physician Assistant | 1499 W Hays St, Boise, ID 83702-5029 | 2014-09-23 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
| 1710231238 | Alaina A Mccoy | Physician Assistant | 100 E. Idaho St., Suite 400, Boise, ID 83712 | 2012-11-06 |
| 1447534821 | Addie Barnes | Physician Assistant | 900 N Liberty, Ste 101, Boise, ID 83704 | 2011-10-04 |
| 1134358104 | Eric Culbertson | Physician Assistant | 633n 4th St, Boise, ID 83702-4510 | 2009-07-10 |
| 1790923621 | Christie Dudash Flynn | Physician Assistant | 12273 W Mcmillian Road, Boise, ID 83713 | 2009-01-30 |
| 1598921595 | Karen B. Barrett | Physician Assistant | 6000 W. Overland Road, Firstline Medical, Boise, ID 83704 | 2008-07-30 |
| 1972672111 | Kara Mcgee | Physician Assistant | 727 E Riverpark Ln Ste 200, Boise, ID 83706-4097 | 2006-11-06 |
| 1265464036 | Sharene E Watsen | Physician Assistant | 403 South 11th St, Ste 100, Boise, ID 83702-6906 | 2006-07-06 |
| 1508802091 | Heidi R Munro | Physician Assistant | 8000 S Federal Way, Boise, ID 83716-9632 | 2006-06-22 |
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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.