MR. JASON T ELLIOTT (NPI# 1275199663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275199663 |
Entity Type | Individual |
Full Name | MR. JASON T ELLIOTT |
Credential | AGACNP |
Practice Address |
12094 N Barn Owl Way Boise ID 83714-1363 |
Practice Telephone | 3024237286 |
Mailing Telephone | 3024237286 |
Enumeration Date | 2019-05-12 |
Last Update Date | 2020-06-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
61213 | ID | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134657422 | Jason M Elliott | Social Worker | 520 Youngstown Poland Rd, Struthers, OH 44471-1103 | 2017-05-31 |
1164738746 | Jason Elliott | Counselor | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2010-08-20 |
1013140359 | Jason P. Elliott | Dentist | 809 N Hammonds Ferry Rd, Linthicum, MD 21090-1341 | 2009-09-03 |
Street Address |
12094 N BARN OWL WAY |
City | BOISE |
State | ID |
Zip Code | 83714-1363 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932683752 | Ikdo State Street LLC | Dentist | 9209 W State St, Garden City, ID 83714 | 2018-09-18 |
1437608007 | Carrie Boroughs Breaux | Ophthalmology | 5019 N Sawyer Ave, Garden City, ID 83714 | 2016-09-23 |
1841646007 | Alliance Medical Group, LLC | Family Medicine | 5601 W. Chinden Blvd., Garden City, ID 83714 | 2016-05-06 |
1134580467 | Rebecca Gillet | Physical Therapist | 6576 W Dufferin Ct, Boise, ID 83714 | 2016-03-15 |
1063816007 | Ingri Suzanne Koloski | Counselor | 8969 West Hepburn Lane, Garden City, ID 83714 | 2014-10-20 |
1679909329 | Anile Nina | Counselor | 5484 N Gary Lane, Boise, ID 83714 | 2013-09-25 |
1215360292 | William Blake Bybee | Dentist | 5833 W. Hidden Springs Dr., Boise, ID 83714 | 2013-08-14 |
1871833327 | Charmaine Read | Social Worker | 123 E. 44th St, Ste. A, Garden City, ID 83714 | 2013-02-20 |
1811206576 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 5220 Sawyer Court, Suite D, Garden City, ID 83714 | 2010-09-29 |
1073780680 | Barry Lynn Williams | Pharmacist | 7020 W State Street, Boise, ID 83714 | 2008-05-13 |
Find all providers in zip 83714 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639364482 | Saint Alphonsus Specialty Services Inc | Nurse Practitioner | 660 E Boise Ave, Boise, ID 83706-5118 | 2007-09-13 |
1336193598 | Angela K. Hughes | Nurse Practitioner | 6933 W Emerald St, Boise, ID 83704-8616 | 2006-05-20 |
1174156962 | Rachel Lynne Davis | Nurse Practitioner | 190 E Bannock St, Boise, ID 83712-6241 | 2020-02-20 |
1154823433 | Christopher R Counsil | Nurse Practitioner | 190 E Bannock St, Boise, ID 83712-6241 | 2018-03-02 |
1992206742 | Kellie Watson | Nurse Practitioner | 6140 W Curtisian Ave, Boise, ID 83704-8880 | 2018-02-27 |
1124562491 | Kimberly Telfer | Nurse Practitioner | 1055 N Curtis Road, Boise, ID 83706 | 2016-12-06 |
1881140283 | Ashley Ann Rood | Nurse Practitioner | 190 E Bannock St, Boise, ID 83712-6241 | 2016-08-26 |
1255706461 | Jennifer Kienlen | Nurse Practitioner | 1075 N Curtis Rd, Suite 250, Boise, ID 83706-1300 | 2015-12-14 |
1386839132 | Saint Alphonsus Specialty Services Inc | Nurse Practitioner | 6560 S Federal Way, Boise, ID 83716-9277 | 2007-09-13 |
1255526000 | Saint Alphonsus Specialty Services Inc | Nurse Practitioner | 1515 W State St, Boise, ID 83702-4039 | 2007-09-13 |
Find all providers in BOISE |
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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.