JUMP START PEDIATRICS


Address: 411 W Haycraft Ave Ste D4, Coeur D Alene, ID 83815-8104
Phone: 2066642468

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251X00000X Supports Brokerage OT-1455 ID Agencies

Office Location

Street Address 411 W HAYCRAFT AVE STE D4
City COEUR D ALENE
State ID
Zip Code 83815-8104

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 251X00000X
Grouping Agencies
Classification Supports Brokerage

Taxonomy Definition

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]

Providers in the same taxonomy and state

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

Competitor

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City COEUR D ALENE
Zip Code 83815

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Dataset Information

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.

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