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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
61853 | ID | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
801 POLE LINE RD W |
City | TWIN FALLS |
State | ID |
Zip Code | 83301-5810 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 83301 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285165399 | Corine Faught | Nurse Practitioner | 1122 Starfire St, Twin Falls, ID 83301-3146 | 2017-03-21 |
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 |
Find all providers with the same taxonomy |
City | TWIN FALLS |
Zip Code | 83301 |
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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.