JOSE MANUEL CELEDON (NPI# 1326520719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326520719 |
| Entity Type | Individual |
| Full Name | JOSE MANUEL CELEDON |
| Practice Address |
508 E Florida Ave Nampa ID 83686-5823 |
| Mailing Address |
2226 E Shady Glade Dr Meridian ID 83642-8245 |
| Practice Telephone | 2084630118 |
| Mailing Telephone | 2089896483 |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2018-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
59029 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
508 E FLORIDA AVE |
| City | NAMPA |
| State | ID |
| Zip Code | 83686-5823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356773618 | Port of Hope Centers, Inc | Counselor | 508 E Florida Ave, Nampa, ID 83686-5823 | 2013-08-08 |
| 1235670258 | Jessica Novello | Counselor | 508 E Florida Ave, Nampa, ID 83686-5823 | 2017-03-09 |
| 1154756237 | Gerald Picha | Counselor | 508 E Florida Ave, Nampa, ID 83686-5823 | 2013-09-09 |
| 1093148694 | Linda Jacobs | Counselor | 508 E Florida Ave, Nampa, ID 83686-5823 | 2013-08-19 |
| 1104259027 | Walter Albert Bogucki | Counselor | 508 E Florida Ave, Nampa, ID 83686-5823 | 2013-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
| 1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
| 1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
| Find all providers in zip 83686 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669901245 | Stephanie Larie Thompson | Nurse Practitioner | 1510 12th Ave Rd, Ste 200, Nampa, ID 83686 | 2017-06-07 |
| 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 |
| 1285165399 | Corine Faught | Nurse Practitioner | 1122 Starfire St, Twin Falls, ID 83301-3146 | 2017-03-21 |
| 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 |
| 1205498201 | Jessica Inez Gratzer | Nurse Practitioner | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2019-07-01 |
| 1982115309 | Laura Eaton | Nurse Practitioner | 4740 N Penngrove Way, Ste 100, Meridian, ID 83646 | 2017-10-12 |
| 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 | ||||
Please comment or provide details below to improve the information on JOSE MANUEL CELEDON.
| 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.