JESSICA INEZ GRATZER


Address: 801 Pole Line Rd W, Twin Falls, ID 83301-5810
Phone: 2088142420

JESSICA INEZ GRATZER (NPI# 1205498201) 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) 1205498201
Entity Type Individual
Full Name JESSICA INEZ GRATZER
Credential NP
Practice Address 801 Pole Line Rd W
Twin Falls
ID 83301-5810
Mailing Address 184 W 200 N
Jerome
ID 83338-5232
Practice Telephone 2088142420
Mailing Telephone 2085399348
Enumeration Date 2019-07-01
Last Update Date 2019-07-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
61853 ID Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 801 POLE LINE RD W
City TWIN FALLS
State ID
Zip Code 83301-5810

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891784245 Elizabeth Jo Johnson Family Medicine 801 Pole Line Rd W, Suite 3810, Twin Falls, ID 83301-5810 2005-10-18
1164022919 Grace Honecker Dietitian, Registered 801 Pole Line Rd W, Twin Falls, ID 83301-5810 2020-10-30
1699384990 Mckenzie Kennell Pharmacist 801 Pole Line Rd W, Twin Falls, ID 83301-5810 2020-07-23
1528676277 Gregory Haws Pharmacist 801 Pole Line Rd W, Twin Falls, ID 83301-5810 2020-07-20
1699383349 Taylor Sebert Pharmacist 801 Pole Line Rd W, Twin Falls, ID 83301-5810 2020-07-20
1740803931 Peggy M Doshier Social Worker 801 Pole Line Rd W, Twin Falls, ID 83301-5810 2020-05-21
1457984718 Edward L Fuchs Pharmacist 801 Pole Line Rd W, Twin Falls, ID 83301-5810 2020-02-14
1124659214 Greg Hegman Pharmacist 801 Pole Line Rd W, Twin Falls, ID 83301-5810 2020-01-28
1598396772 Amanda Lynn Tyler Pharmacist 801 Pole Line Rd W, Twin Falls, ID 83301-5810 2020-01-28
1881224327 St Lukes Magic Valley Regional Medical Center Ltd Pharmacy 801 Pole Line Rd W, Twin Falls, ID 83301-5810 2020-01-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023645918 Matthew Anderson Pharmacist Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 2020-03-23
1780146316 Frontier Pediatric Partners, Pllc Pediatrics 1502 Locust Street N #700, Twin Falls, ID 83301 2019-04-02
1972073377 Wood River Acupuncture Acupuncturist 1625 Addison Ave East, Twin Falls, ID 83301 2018-11-28
1235629874 Lonnie Paul Counselor 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 2018-05-17
1679060966 Christina Jirapha Thongdee Social Worker 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 2018-04-23
1437658499 Tyrel Kevin Ward Chiropractor 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 2018-02-06
1851836381 Tanabell Health Services, Inc Skilled Nursing Facility 1134 Cheney Drive West, Twin Falls, ID 83301 2016-12-19
1578005195 Matthew Carter Physical Therapist 1053 Eastland Drive, Twin Falls, ID 83301 2016-11-14
1790227783 Murvat Usmanova Nurse Practitioner 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 2016-11-08
1265894687 Shawna Fultz Social Worker 1201 Fall Ave East Suite C, Twin Falls, ID 83301 2016-03-24
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285165399 Corine Faught Nurse Practitioner 1122 Starfire St, Twin Falls, ID 83301-3146 2017-03-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194356022 Sabrina Bojo Nurse Practitioner 1576 S Oriole Way, Boise, ID 83709-1325 2020-01-29
1033641154 Tyler Jue Nurse Practitioner 1055 N Curtis Rd # S6, Boise, ID 83706-1309 2017-03-29
1891310892 Sean E Cook Nurse Practitioner 211 E Logan St, Caldwell, ID 83605-4882 2020-06-15
1205466281 Jeanna Rae Rendo Nurse Practitioner 811 Nw 12th St, Fruitland, ID 83619-2268 2020-01-18
1326520719 Jose Manuel Celedon Nurse Practitioner 508 E Florida Ave, Nampa, ID 83686-5823 2018-08-31
1982115309 Laura Eaton Nurse Practitioner 4740 N Penngrove Way, Ste 100, Meridian, ID 83646 2017-10-12
1669901245 Stephanie Larie Thompson Nurse Practitioner 1510 12th Ave Rd, Ste 200, Nampa, ID 83686 2017-06-07
1881129146 Sara Jean Smith Nurse Practitioner 5966 W Curtisian Ave, Boise, ID 83704 2017-04-25
1447707120 Sherri Siegel Nurse Practitioner 5966 W Curtisian Ave, Boise, ID 83704-8801 2016-09-09
1639578628 Erin Michaelis Nurse Practitioner 6140 W Curtisian Ave, Ste 200, Boise, ID 83704 2014-08-15
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Competitor

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City TWIN FALLS
Zip Code 83301

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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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