JUMP START PEDIATRICS (NPI# 1881072817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881072817 |
Entity Type | Organization |
Organization Name | JUMP START PEDIATRICS |
Practice Address |
411 W Haycraft Ave Ste D4 Coeur D Alene ID 83815-8104 |
Practice Telephone | 2066642468 |
Enumeration Date | 2015-05-11 |
Last Update Date | 2015-05-11 |
Authorized Official Name | BECCA FAHEY (OFFICE MANAGER) |
Authorized Official Telephone | 2086642468 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251X00000X | Supports Brokerage | OT-1455 | ID | Agencies |
Street Address |
411 W HAYCRAFT AVE STE D4 |
City | COEUR D ALENE |
State | ID |
Zip Code | 83815-8104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295047793 | Craig Cahan | Physical Therapist | 411 W Haycraft Ave Ste D4, Coeur D Alene, ID 83815-8104 | 2010-07-13 |
1821615881 | Dana Elizabeth Zylstra | Occupational Therapist | 411 W Haycraft Ave Ste D4, Coeur D Alene, ID 83815-8104 | 2020-06-25 |
1164075800 | Mercedes Demartini | Speech-Language Pathologist | 411 W Haycraft Ave Ste D4, Coeur D Alene, ID 83815-8104 | 2019-07-22 |
1093279648 | Lanmana Parys-wolodkewitsch | Occupational Therapist | 411 W Haycraft Ave Ste D4, Coeur D Alene, ID 83815-8104 | 2019-01-28 |
1033681499 | Sharron Elizabeth Mcmillan | Physical Therapist | 411 W Haycraft Ave Ste D4, Coeur D Alene, ID 83815-8104 | 2018-12-26 |
1710426150 | Christi Jean Shelley | Occupational Therapist | 411 W Haycraft Ave Ste D4, Coeur D Alene, ID 83815-8104 | 2017-02-17 |
1518310275 | Megan Elizabeth Newrones | Physical Therapist | 411 W Haycraft Ave Ste D4, Coeur D Alene, ID 83815-8104 | 2016-07-18 |
1790161388 | Diana Williams | Speech-Language Pathologist | 411 W Haycraft Ave Ste D4, Coeur D Alene, ID 83815-8104 | 2015-08-05 |
1184002750 | Megan Marney | Occupational Therapist | 411 W Haycraft Ave Ste D4, Coeur D Alene, ID 83815-8104 | 2015-05-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790133163 | Christine Lee Stanton | Speech-Language Pathologist | 3825 N. Blalock Drive, Coeur D'alene, ID 83815 | 2016-05-26 |
1578921961 | Kayla Wearne | Speech-Language Pathologist | 917 W Canfield Avenue, Coeur D'alene, ID 83815 | 2016-02-01 |
1770954794 | William Strong | Speech-Language Pathologist | 3902 Broken Arrow Rd, Coeur D Alene, ID 83815 | 2015-10-16 |
1235517079 | Denny Bordeaux | Emergency Medical Technician, Paramedic | 7294 Downing Lane, Coeur D Alene, ID 83815 | 2015-05-13 |
1689075657 | Barbara Campbell | Pharmacist | W 201 Neider Rd., Coeur D'alene, ID 83815 | 2014-09-10 |
1710313671 | Sean Cooper | Pharmacist | W. 201 Neider Rd., Coeur D' Alene, ID 83815 | 2013-09-23 |
1275871329 | Lake City Dental | Dentist | 6176 Government Way, Coeur D'alene, ID 83815 | 2013-01-24 |
1881972701 | A Better Personal Care Inc | In Home Supportive Care | 3115 N Government Way Ste 2, Coeur D'alene, ID 83815 | 2011-07-26 |
1013206895 | Robert Sperry | Pharmacist | 41650 W Maricopacg Hwy., Maricopa, AZ 83815 | 2011-04-01 |
1629304670 | Marciea W. Buckley | Social Worker | 109 Harrison Ave, Coeur D' Alene, ID 83815 | 2009-10-27 |
Find all providers in zip 83815 |
Taxonomy Code | 251X00000X |
Grouping | Agencies |
Classification | Supports Brokerage |
A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services. |
Notes: Source: CMS Independence Plus Waiver template. [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194147850 | Packham Insurance Agency | Supports Brokerage | 17 S Broadway St, Blackfoot, ID 83221-2710 | 2014-01-15 |
1881022069 | Wheeler Insurance Agency | Supports Brokerage | 346 Grand Loop Ste 500, Rexburg, ID 83440-4957 | 2013-10-24 |
1063844728 | Billing Solutions LLC | Supports Brokerage | 1758 Peggys Ln, Idaho Falls, ID 83402-1661 | 2013-08-05 |
1356617807 | Scott Community Care | Supports Brokerage | 200 S Almon St # 314, Moscow, ID 83843-2098 | 2012-03-29 |
City | COEUR D ALENE |
Zip Code | 83815 |
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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.