Cedar Health Center

Primary specialty

Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0807X

License

CNS-15A,N-28258 Issued in ID

Legal business name

CEDAR HEALTH CENTER

Practice address

427 N Arthur Ave Ste B
Pocatello, ID 83204-3006

Phone

(208) 233-2998

Fax

(208) 232-0881

NPI assigned

Feb 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen Werner-Leap, CNS, NPPNPI 1851447585

Title

Director

Phone

(208) 233-2998

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathleen Werner-Leap, CNS, NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pocatello, ID
  • NPI 1851447585
  NPD (past) Authorized official

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184764755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 N ARTHUR AVE STE B",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043006",
            "telephone_number": "208-233-2998",
            "fax_number": "208-232-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 N ARTHUR AVE STE B",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043006",
            "telephone_number": "208-233-2998",
            "fax_number": "208-232-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WERNER-LEAP",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "208-233-2998",
        "authorized_official_credential": "CNS, NPP"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "ID",
            "license": "CNS-15A,N-28258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "NPSB4",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "00001014993",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandi L Cavner, MPT
• Ammon Deloyd Cazier
• CC Pocatello LLC (Community Care Pocatello)
• CDS,PA (Pocatello Women's Health Clinic)
• Cedar Health Center
• Cedar Hills Family Dentistry
• Cedar Sage Counseling PLLC
• Center for Dental Excellence LLC
• Center for Orthopedic Rehabilitation
• Center Street Health Care LLC

• Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.