Ellouise Gebauer-Atkins, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP-47A Issued in ID

Practice address

1650 E 3800 N
Buhl, ID 83316-6118

Phone

(208) 543-4233

NPI assigned

Mar 12, 2007

Last updated

Oct 7, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Luke's Clinic LLC

  dba St Lukes Clinic - Magic Valley/Jerome

  • Family Medicine Physician
  • Twin Falls, ID
  • NPI 1790718229
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1104958214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 E 3800 N",
            "city": "BUHL",
            "state": "ID",
            "postal_code": "833166118",
            "telephone_number": "208-543-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 E 3800 N",
            "city": "BUHL",
            "state": "ID",
            "postal_code": "833166118",
            "telephone_number": "208-543-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBAUER-ATKINS",
        "first_name": "ELLOUISE",
        "credential": "F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-47A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "000010138571",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Health Services Corporation
• Family Health Services Corporation
• Family Health Services Corporation
• Family Health Services Corporation
• Family Health Services Pharmacy (Family Health Services Buhl Pharmacy)
• Kelly K Graff, APRN-CNS
• Rorri Henstock, L.M.T.
• Michael V Higbee, PHARMD.
• Austin Ivins Higginson, PA-C
• Anna Howard, M.A.

• Family Nurse Practitioner in Buhl, ID
• Providers in Buhl, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.