Jessica J Carpenter (NPI# 1679938070, PAC ID# 4587927728) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1679938070 |
| PAC ID by PECOS | 4587927728 |
| Professional Enrollment ID | I20180420002043 |
| Full Name | Jessica J Carpenter |
| Organization Legal Name | ST LUKES CLINIC-TREASURE VALLEY LLC |
| Address |
1620 S Kimball Ave Caldwell ID 83605-4547 |
| Phone Number | 2085052950 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 4981878402 |
| Number of Group Practice Members | 770 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 608 W Hays St, Boise, ID 83702-5511 | 2083815970 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| 610 W Hays St, Boise, ID 83702-5511 | ST LUKES CLINIC-TREASURE VALLEY LLC | |
| 1620 S Kimball Ave, Caldwell, ID 83605-4547 | 2085052950 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| Organization Legal Name | ST LUKES CLINIC-TREASURE VALLEY LLC |
| Physicians | 831 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Scholten | Pulmonary Disease | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| Tracye J Lawyer | Orthopedic Surgery | St Lukes Clinic-treasure Valley LLC | 9850 St Lukes Dr, Suite 215, Nampa, ID 83687-7912 |
| Alex Mari Tanabe | Internal Medicine | St Lukes Clinic-treasure Valley LLC | 600 N Robbins Rd, Boise, ID 83702-4565 |
| Whitney B Conrad | Nurse Practitioner | St Lukes Clinic-treasure Valley LLC | 1226 W River St, Boise, ID 83702-7049 |
| Megan D Larson | Nurse Practitioner | St Lukes Clinic-treasure Valley LLC | 287 W Jefferson St, Boise, ID 83702-6045 |
| Bonnie M Reed | Family Medicine | St Lukes Clinic-treasure Valley LLC | 3090 E Gentry Way, Suite 200, Meridian, ID 83642-3550 |
| Scott J Chyna | Clinical Social Worker | St Lukes Clinic-treasure Valley LLC | 703 S Americana Blvd, Suite 150, Boise, ID 83702-4976 |
| Sarah J Mooseau | Qualified Audiologist | St Lukes Clinic-treasure Valley LLC | 510 N 2nd St, Suite 201, Boise, ID 83702-6078 |
| Nitya Alluri | Hematology | St Lukes Clinic-treasure Valley LLC | 100 E Idaho St, Suite 302, Boise, ID 83712-6269 |
| Edward A Duckworth | Neurosurgery | St Lukes Clinic-treasure Valley LLC | 608 W Hays St, Boise, ID 83702-5511 |
| Street Address |
1620 S KIMBALL AVE |
| City | CALDWELL |
| State | ID |
| Zip | 83605-4547 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle Joseph Ronnau | Nurse Practitioner | Ideal Option, Pllc | 3110 Cleveland Blvd, Caldwell, ID 83605-0718 |
| Dorian Larsen | Nurse Practitioner | Ideal Option, Pllc | 3110 Cleveland Blvd, Caldwell, ID 83605-0718 |
| Elizabeth A Britain | Certified Nurse Midwife (cnm) | Ideal Option, Pllc | 3110 Cleveland Blvd, Caldwell, ID 83605-0718 |
| Sara L Helmer | Clinical Social Worker | 107 S Kimball Ave, Suite 225, Caldwell, ID 83605-3735 | |
| Melanie E Sittig | Clinical Social Worker | 524 Cleveland Blvd, Suite 227, Caldwell, ID 83605-4080 | |
| Amy K Jeppesen | Clinical Social Worker | 709 Dearborn St, Caldwell, ID 83605-4116 | |
| Alishia Cairl | Physician Assistant | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Timothy Hodges | Family Medicine | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Brenton Noel | Physician Assistant | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Rylan Chan | Physician Assistant | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Find all physicians in zip 83605 | |||
| City | CALDWELL |
| Zip Code | 83605 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | CALDWELL + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Jessica J Carpenter.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.