Janis J Whitehead (NPI# 1316930795, PAC ID# 4981742491) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1316930795 |
| PAC ID by PECOS | 4981742491 |
| Professional Enrollment ID | I20170508000330 |
| Full Name | Janis J Whitehead |
| Organization Legal Name | NEZ PERCE TRIBAL HEALTH AUTHORITY |
| Address |
313 3rd St Kamiah ID 83536-5054 |
| Phone Number | 2089350733 |
| Gender | F |
| Graduation Year | 1997 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0941288302 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501301 | GARFIELD COUNTY MEMORIAL HOSPITAL |
| 501332 | TRI-STATE MEMORIAL HOSPITAL |
| 130003 | ST JOSEPH REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 313 3rd St, Kamiah, ID 83536-5054 | 2089350733 | NEZ PERCE TRIBAL HEALTH AUTHORITY |
| 111 Bever Grade Rd, Lapwai, ID 83540 | 2088432271 | NEZ PERCE TRIBAL HEALTH AUTHORITY |
| Organization Legal Name | NEZ PERCE TRIBAL HEALTH AUTHORITY |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Penny R Buckland | Nurse Practitioner | Nez Perce Tribal Health Authority | 313 3rd St, Kamiah, ID 83536-5054 |
| Ileen S Huh | Optometry | Nez Perce Tribal Health Authority | 111 Bever Grade Rd, Nimiipuu Health, Lapwai, ID 83540-0367 |
| Korena Lynn Popp | Nurse Practitioner | Nez Perce Tribal Health Authority | 313 3rd St, Kamiah, ID 83536-5054 |
| Thanh Danae N Vu | Obstetrics/gynecology | Nez Perce Tribal Health Authority | 111 Bever Grade Rd, Nimiipuu Health, Lapwai, ID 83540-0367 |
| Karen M Hendren | Clinical Social Worker | Nez Perce Tribal Health Authority | 313 3rd St, Kamiah, ID 83536-5054 |
| Roxie K Hartwig | Family Medicine | Nez Perce Tribal Health Authority | 313 3rd St, Kamiah, ID 83536-5054 |
| Dustin K Worth | Osteopathic Manipulative Medicine | Nez Perce Tribal Health Authority | 111 Bever Grade Rd, Nimiipuu Health, Lapwai, ID 83540-0367 |
| Miles F Robinson | Nurse Practitioner | Nez Perce Tribal Health Authority | 313 3rd St, Kamiah, ID 83536-5054 |
| Carysa M Dugan | Physical Therapy | Nez Perce Tribal Health Authority | 111 Bever Grade Rd, Lapwai, ID 83540 |
| Gary L Grogan | Clinical Psychologist | Nez Perce Tribal Health Authority | 111 Bever Grade Rd, Lapwai, ID 83540 |
| Street Address |
313 3RD ST |
| City | KAMIAH |
| State | ID |
| Zip | 83536-5054 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Penny R Buckland | Nurse Practitioner | Nez Perce Tribal Health Authority | 313 3rd St, Kamiah, ID 83536-5054 |
| Korena Lynn Popp | Nurse Practitioner | Nez Perce Tribal Health Authority | 313 3rd St, Kamiah, ID 83536-5054 |
| Karen M Hendren | Clinical Social Worker | Nez Perce Tribal Health Authority | 313 3rd St, Kamiah, ID 83536-5054 |
| Roxie K Hartwig | Family Medicine | Nez Perce Tribal Health Authority | 313 3rd St, Kamiah, ID 83536-5054 |
| Miles F Robinson | Nurse Practitioner | Nez Perce Tribal Health Authority | 313 3rd St, Kamiah, ID 83536-5054 |
| Thomas Strobel | Internal Medicine | Nez Perce Tribal Health Authority | 313 3rd St, Kamiah, ID 83536-5054 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Casey Dayley | Optometry | 501 Main St, Kamiah, ID 83536 | |
| Kimberly Kristine Bartholomew | Chiropractic | 402 Main St, Kamiah, ID 83536-9700 |
| City | KAMIAH |
| Zip Code | 83536 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | KAMIAH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Janis J Whitehead.
| 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.