JANE KELSEY SPENCER (NPI# 1962709550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962709550 |
| Entity Type | Individual |
| Full Name | JANE KELSEY SPENCER |
| Credential | ACNS |
| Practice Address |
1072 N Liberty St Suite 303 Boise ID 83704-2800 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2083674035 |
| Practice Fax Number | 2083677111 |
| Mailing Telephone | 2083675170 |
| Mailing Fax Number | 2083675180 |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2014-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
CNS-56A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245209386 | Jane D. Spencer | Nurse Practitioner | 3366 Oakdale Ave N, #501, Robbinsdale, MN 55422-2948 | 2006-03-14 |
| Street Address |
1072 N LIBERTY ST SUITE 303 |
| City | BOISE |
| State | ID |
| Zip Code | 83704-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487640561 | James D Redshaw | Psychiatry & Neurology | 1072 N Liberty St, Suite 303, Boise, ID 83704-2800 | 2005-09-23 |
| 1316333107 | Karissa Deann Keenan | Obstetrics & Gynecology | 1072 N Liberty St, Ste 100, Boise, ID 83704 | 2015-04-08 |
| 1891184115 | Kristin Schmitt Gomes | Advanced Practice Midwife | 1072 N Liberty St, Ste 100, Boise, ID 83704 | 2015-01-12 |
| 1619385119 | Jessica M Herr | Nurse Practitioner | 1072 N Liberty St, Ste 200, Boise, ID 83704 | 2014-07-28 |
| 1093126229 | Colin Alan Lyness | Psychiatry & Neurology | 1072 N Liberty St, Ste 303, Boise, ID 83704 | 2014-05-09 |
| 1215362785 | Heather Ann Wilcke | Nurse Practitioner | 1072 N Liberty St, Suite 303, Boise, ID 83704-2800 | 2013-09-03 |
| 1396188751 | Donraphael Wynn | Ophthalmology | 1072 N Liberty St, Ste 303, Boise, ID 83704 | 2013-04-16 |
| 1518214154 | Heather Marie Johnson | Nurse Practitioner | 1072 N Liberty St, Suite 203, Boise, ID 83704-8708 | 2012-08-14 |
| 1558620781 | Kandiss L Inman | Registered Nurse | 1072 N Liberty St, Suite 100, Boise, ID 83704-8708 | 2012-05-08 |
| 1942568118 | Daniel Prior | Surgery | 1072 N Liberty St, Ste 300, Boise, ID 83704 | 2012-04-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064568 | Rick D Bassett | Clinical Nurse Specialist | 720 E Park Blvd, Boise, ID 83712-7758 | 2020-08-19 |
| 1306274006 | Jocelyn L Mccullough | Clinical Nurse Specialist | 6140 W Curtisian, Ste 200, Boise, ID 83704 | 2013-10-16 |
| 1447598016 | Christine Clair Shirazi | Clinical Nurse Specialist | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2013-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548549249 | College of Western Idaho-medical Express Care Clinic | Clinical Nurse Specialist | 2407 Nampa Caldwell Blvd, No. 168, Nampa, ID 83651-1515 | 2011-08-11 |
| 1043512692 | Abigail Louise Bell | Clinical Nurse Specialist | 801 Pole Line Rd W Ste 3810, Twin Falls, ID 83301-5811 | 2010-12-01 |
| 1720230766 | Kathy D Archibald | Clinical Nurse Specialist | 2302 E Terry St, Pocatello, ID 83201-2733 | 2008-10-22 |
| 1275836157 | Debra Lynn Rodriguez | Clinical Nurse Specialist | 777 Hospital Way, Pocatello, ID 83201-5162 | 2010-12-14 |
| 1902039951 | Cynthia Love Barron | Clinical Nurse Specialist | 777 Hospital Way Bldg A, 101, Pocatello, ID 83201-2753 | 2009-08-25 |
| 1548493521 | Brenda Bergholm | Clinical Nurse Specialist | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2009-08-25 |
| 1659540292 | Pocatello Cardiology Associates | Clinical Nurse Specialist | 777 Hospital Way Bldg A, Ste. 101, Pocatello, ID 83201-2753 | 2008-02-28 |
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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.