JENNIFER S ANDERSON (NPI# 1093825903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093825903 |
| Entity Type | Individual |
| Full Name | JENNIFER S ANDERSON |
| Other Name | JENNIFER MARIE SCHULTZ |
| Credential | MD |
| Practice Address |
343 E Riverside Drive Ste 224 Eagle ID 83616 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2083020000 |
| Practice Fax Number | 2083020055 |
| Mailing Telephone | 2083020000 |
| Mailing Fax Number | 2083020055 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2019-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | M-12001 | ID | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD60022458 | WA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 2009-02126 | NC | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | ML20008610 | WA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD161181 | OR | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
M-12001 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046684 | Jennifer Anderson | Physical Therapy Assistant | 5900 N Brook Pl, Garden City, ID 83714-1724 | 2020-09-02 |
| 1912464686 | Jennifer Kennedy Anderson | Speech-Language Pathologist | 4 Bitternut Ct, Catonsville, MD 21228-5866 | 2019-02-28 |
| 1942782990 | Jennifer Anderson | Peer Specialist | 2615 O St Ste 4, Lincoln, NE 68510-1385 | 2018-09-05 |
| 1558849133 | Jennifer C Anderson | Registered Nurse | 11704 E Laketowne Dr, Albertville, MN 55301-4540 | 2018-08-05 |
| 1730665084 | Jennifer Marie Anderson | Nurse Practitioner | 4 Courthouse Ln Unit 9, Chelmsford, MA 01824-1731 | 2018-07-18 |
| 1952891137 | Jennifer Anderson | Behavioral Analyst | 51 W Schaumburg Rd, Schaumburg, IL 60194-3506 | 2018-05-14 |
| 1316448780 | Jennifer Renee Anderson | Counselor | 17 Mckean Ave, Charleroi, PA 15022-1436 | 2018-02-21 |
| 1063927911 | Jennifer Anderson | Counselor | 524 25th Ave N, Saint Cloud, MN 56303-3255 | 2017-12-13 |
| 1154850733 | Jennifer Lynn Anderson | Behavior Technician | 3290 S Lakeshore Loop, Palmer, AK 99645-9002 | 2017-06-07 |
| 1467985390 | Jennifer Lynne Anderson | Pediatrics | 782 Mcchord St, Colorado Springs, CO 80916-5299 | 2017-04-07 |
| Street Address |
343 E RIVERSIDE DRIVE STE 224 |
| City | EAGLE |
| State | ID |
| Zip Code | 83616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
| 1861922627 | Nicholas A. Stelzner | Counselor | 2419 W. State St. Suite 8, Boise, ID 83616 | 2017-06-14 |
| 1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
| 1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
| 1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
| 1043552524 | Tori Croshaw | Social Worker | 372 S Eagle Rd Ste 190, Eagle, ID 83616 | 2013-03-21 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1437494457 | Mary Beth Roehling | Nurse Practitioner | 2040 E Hologate Ct, Eagle, ID 83616 | 2012-12-03 |
| Find all providers in zip 83616 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063568749 | Rebecca E Laird | Internal Medicine | 318 Broadway X5850, Eagle, CO 81631-5850 | 2007-01-26 |
| 1750926754 | Valley View Hospital Association | Internal Medicine | 377 Sylvan Lake Rd, Eagle, CO 81631 | 2019-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1801336276 | Bmh, Inc. | Internal Medicine | 235 Poplar St, Blackfoot, ID 83221 | 2017-03-03 |
| 1811201312 | Providence Health & Services | Internal Medicine | 715 S Washington, Suite A, Moscow, ID 83843-0000 | 2010-07-27 |
| 1730323080 | Wayne Wright | Internal Medicine | 2664 E 3700 N, Twin Falls, ID 83301-0145 | 2009-04-29 |
| 1184824617 | Michael D Kenner, Md,pc | Internal Medicine | 1721 S 10th Ave, Caldwell, ID 83605-4839 | 2007-07-23 |
| 1497807812 | Grande Ronde Hospital, Inc | Internal Medicine | 300 E Jefferson St Ste 101, Boise, ID 83712-6221 | 2007-01-17 |
| 1700983137 | Lee Walter Gould | Internal Medicine | 307 St. John's Way, Suite 114, Lewiston, ID 83501-2456 | 2006-09-20 |
| 1730285719 | Beth R Malasky | Internal Medicine | 6140 Curtisian, Ste 200, Boise, ID 83704-0107 | 2006-09-16 |
| 1730192329 | Cardiovascular Consultants of Idaho | Internal Medicine | 1070 N Curtis Rd, Ste 125, Boise, ID 83706-1238 | 2006-08-14 |
| 1477578300 | John E Lassetter | Internal Medicine | 2001 S Woodruff Ave Ste 3, Idaho Falls, ID 83404 | 2006-07-13 |
| Find all providers with the same taxonomy | ||||
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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.