Jazmin Cervantes
Individual provider Active NPI Developmental Therapist · Nampa, ID
NPI 1144149154 · NPPES record last updated Jul 15, 2026
Key facts
- NPI
- 1144149154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 712 18TH Ave N
Nampa, ID 83687-3555 - Phone
- (626) 377-3760
- NPI assigned
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist |
222Q00000X | Yes |
Addresses
Primary practice location
712 18TH Ave N
Nampa, ID 83687-3555
Mailing address
712 18TH Ave N
Nampa, ID 83687-3555
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All providers in Nampa, ID · Developmental Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.