MRS. CRISTA ANN JARDINE (NPI# 1215270053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215270053 |
| Entity Type | Individual |
| Full Name | MRS. CRISTA ANN JARDINE |
| Credential | PTA |
| Practice Address |
2499 Fieldstone Dr Ammon ID 83401-5854 |
| Practice Telephone | 2086816677 |
| Practice Fax Number | 2082098574 |
| Mailing Telephone | 2086816677 |
| Mailing Fax Number | 2082098574 |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2013-03-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | PTA-110 | ID | Other Service Providers |
| Street Address |
2499 FIELDSTONE DR |
| City | AMMON |
| State | ID |
| Zip Code | 83401-5854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454796 | Natalie M Theriault | Acupuncturist | 864 S Holmes, Idaho Falls, ID 83401 | 2020-10-09 |
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1851859110 | Rebecca Chidester | Counselor | 771 Parkwood St., Idaho Falls, ID 83401 | 2019-03-06 |
| 1467924985 | Benchmark Home Health | Registered Nurse | 2098 Gladys Dr., Idaho Falls, ID 83401 | 2018-12-21 |
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 1992227367 | Brenda Emery | Rehabilitation Practitioner | 540 3rd Street, Idaho Falls, ID 83401 | 2017-07-07 |
| 1689068454 | Addiction Treatment Centers of Idaho | Community/Behavioral Health | 211 S. Woodruff Avenue, Idaho Falls, ID 83401 | 2015-03-19 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1487994430 | Sterling Physician Group Pllc | Clinic/Center | 740 S. Woodruff Ave, Idaho Falls, ID 83401 | 2013-02-27 |
| 1952638025 | Allstar Counseling Inc. | Case Management | 550 2nd Street, Suite 269, Idaho Falls, ID 83401 | 2009-11-11 |
| Find all providers in zip 83401 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881235893 | Juli Stratton | Contractor | 2598 N Abigail St, Post Falls, ID 83854-6201 | 2019-10-01 |
| 1114585163 | Cory Bruce Langberg | Contractor | 5362 W Prairie Ave, Post Falls, ID 83854-5912 | 2019-06-04 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1750815510 | Ideal Solutions, Inc. | Contractor | 1317 E 65th N, Idaho Falls, ID 83401-5653 | 2017-04-18 |
| 1003208638 | Vickey Schmadeka | Contractor | 8565 W Stonehaven St, Boise, ID 83704-7079 | 2015-02-18 |
| 1346643095 | Brandy Burch | Contractor | 1417 N Hartman St, Boise, ID 83704-8849 | 2014-10-08 |
| 1346515889 | Doris Faye Thornock | Contractor | 444 N 10th St, Montpelier, ID 83254-1115 | 2012-03-16 |
| 1245532381 | Cesar Ledezma | Contractor | 3265 Canyon Pl, Twin Falls, ID 83301-8180 | 2010-11-22 |
| 1851558126 | Desiree F Welty | Contractor | 1059 Pinewood Cir, Twin Falls, ID 83301-3338 | 2008-05-22 |
| 1083892988 | New Day Physical Therapy, P.C. | Contractor | 1951 Bench Rd Ste E, Pocatello, ID 83201-2073 | 2008-02-04 |
| 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.