J Roye Ely, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP-368A Issued in ID

Practice address

1052 W Mill Ave
Coeur D'Alene, ID 83814

Phone

(208) 664-3301

Fax

(877) 653-2694

NPI assigned

May 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1275587180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 238",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838350238",
            "telephone_number": "208-664-3301",
            "fax_number": "877-653-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 W MILL AVE",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-664-3301",
            "fax_number": "877-653-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELY",
        "first_name": "J",
        "middle_name": "ROYE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP-368A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan L Dummer, NP
• Erin Duncan, LMSW
• Eagle Eye Vision Services
• Ear, Nose & Throat of Coeur D'Alene, PA
• Randi Leigh Edwards, MD
• Eye Pros Coeur D Alene LLC
• Eyemart Express LLC
• Richard Andrew Flygare, P.A.-C.
• Emmalee Anne Gerstenberger, CNP
• Kirandeep K Gill, D.O.

• Nurse Practitioner in Coeur D'Alene, ID
• Providers in Coeur D'Alene, ID by specialty
• Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.