JARROD VAUGHN CRUMP


Address: 2609 S 10th Ave, Caldwell, ID 83605-6816
Phone: 2084542766

JARROD VAUGHN CRUMP (NPI# 1184240194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184240194
Entity Type Individual
Full Name JARROD VAUGHN CRUMP
Credential NP
Practice Address 2609 S 10th Ave
Caldwell
ID 83605-6816
Mailing Address 1828 N Blush Ave
Kuna
ID 83634-5427
Practice Telephone 2084542766
Enumeration Date 2020-06-25
Last Update Date 2020-06-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
63057 ID Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2609 S 10TH AVE
City CALDWELL
State ID
Zip Code 83605-6816

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467899930 Carolyn Anderson Social Worker 2609 S 10th Ave, Caldwell, ID 83605 2013-05-24
1962000653 Jordyn Ashlie Oliver Nurse Practitioner 2609 S 10th Ave, Caldwell, ID 83605-6816 2020-10-14
1407461817 Phoebe Ackart Uricchio Nurse Practitioner 2609 S 10th Ave, Caldwell, ID 83605-6816 2020-09-11
1275007965 Ronnie Bryon Isaacson Physician Assistant 2609 S 10th Ave, Caldwell, ID 83605-6816 2019-01-15
1225585003 Mary J Payne Counselor 2609 S 10th Ave, Ste 102, Caldwell, ID 83605-6816 2016-09-08
1386099257 Lindsey Trowbridge Counselor 2609 S 10th Ave, Suite 102, Caldwell, ID 83605-6816 2016-04-28
1316311954 Ashley Croft Nurse Practitioner 2609 S 10th Ave, Caldwell, ID 83605-6816 2015-11-19
1053783068 Jason Weaver Physician Assistant 2609 S 10th Ave, Caldwell, ID 83605-6816 2015-10-29
1326421520 Kelsi Woodburn Counselor 2609 S 10th Ave, Ste. 102, Caldwell, ID 83605-6816 2015-07-07
1447643101 Mandy Mitchell Social Worker 2609 S 10th Ave, Caldwell, ID 83605-6816 2015-03-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518585660 Laurie Bernstein Occupational Therapist 2205 Sunset Avenue, Caldwell, ID 83605 2020-07-06
1881249316 Elevate Academy Local Education Agency (LEA) 114 W. Chicago St., Caldwell, ID 83605 2019-08-01
1669025359 James Smith Pharmacist 2809 E Caldwell Blvd, Caldwell, ID 83605 2019-07-22
1164910824 Michelle Stoddard Physician Assistant 315 E Elm St Ste 200, Caldwell, ID 83605 2018-04-27
1215430483 Amy E Rudolf Pharmacist 315 E Elm St Ste 150, Caldwell, ID 83605 2018-03-14
1871044883 Kool Ridez LLC Case Management 1803 Ellis Ave., Caldwell, ID 83605 2016-10-14
1932550795 Chris Torgerson Social Worker 3402 Franklin Blvd, Caldwell, ID 83605 2016-06-23
1609237742 Peggy A Mcfarland Counselor 534 Cleveland Suite 230, Caldwell, ID 83605 2016-03-17
1720468101 Devin Douglas Dredge Emergency Medicine 1717 Arlington Ave Dept Of, Caldwell, ID 83605 2015-06-01
1578950168 Trinidad Bridge Licensed Practical Nurse 2909 S. 10th Avenue, Caldwell, ID 83605 2015-04-21
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396379475 Blake Mcdonald Nurse Practitioner 1906 Fairview Ave Ste 220, Caldwell, ID 83605-5432 2020-02-27
1669934774 Jlyle Medical Clinic Pllc Nurse Practitioner 501 N Stone St, Caldwell, TX 77836-1134 2019-04-05
1316311954 Ashley Croft Nurse Practitioner 2609 S 10th Ave, Caldwell, ID 83605-6816 2015-11-19

Providers in the same taxonomy and state

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
1528610532 Shawn Warren Nurse Practitioner 755 Lomax St, Idaho Falls, ID 83401-2786 2019-07-10
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
1639507551 Jason Martin Nurse Practitioner 13734 S 1st E, Idaho Falls, ID 83404-7852 2013-10-31
1881027241 Colleen R Fleming Nurse Practitioner 2025 W Park Place, Ste B, Coeur D Alene, ID 83814-2785 2013-08-20
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Competitor

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City CALDWELL
Zip Code 83605

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Dataset Information

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.

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