Individual provider Active NPI

Jayne Fekete

  • Developmental Disabilities Clinic/Center
  • Meridian, ID
National Provider Identifier
1144045220
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
DDA-6230 Issued in ID
Practice address
1771 E Pine Ave
Meridian, ID 83642-5914
Phone
(208) 880-2895
NPI assigned
Nov 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X DDA-6230 ID Primary

Addresses

Primary practice location

1771 E Pine Ave
Meridian, ID 83642-5914

Mailing address

8262 S Slide Creek LN
Meridian, ID 83642-7192
Phone (208) 880-2895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DDA-6230IDMDDevelopmental Disabilities Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Precious Minds LLC Developmental Disabilities CurrentSince Jan 19, 2025 Accepting new patients

Locations

1771 E Pine Ave
Meridian, ID 83642
Phone (208) 880-2895

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1144045220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8262 S SLIDE CREEK LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427192",
            "telephone_number": "208-880-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 E PINE AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425914",
            "telephone_number": "208-880-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEKETE",
        "first_name": "JAYNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-22",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "ID",
            "license": "DDA-6230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.