Jenna Morch

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

554 W Benton St
Pocatello, ID 83204-3349

Phone

(541) 971-1000

NPI assigned

Mar 27, 2018

Last updated

Mar 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1134624794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 W BENTON ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043349",
            "telephone_number": "541-971-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 W BENTON ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043349",
            "telephone_number": "541-971-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORCH",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moonlight Mountain Recovery, Inc (Anxiety & Depression Centers)
• Courtney Moore
• Gina Marie Moore
• Melanie Renee Moore
• Miraya Moore, LPC
• Adam Edwin Morgan
• Braden Morgan, MD
• Jonathan T Morgan, DO
• Wendy Morgan, MS, CCC-SLP
• Morgen Bybee DDS PA (KiDDS Dental)

• Student in an Organized Health Care Education/Training Program in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Student in an Organized Health Care Education/Training Program in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.