Active NPI
Jayne Stevenson, M.D.
- Legal Medicine
- Boise, ID
National Provider Identifier
1285779496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- M8899
- Practice address
- 802 W Bannock St
Suite 405
Boise, ID 83702-5837 - Phone
- (208) 336-7341
- Fax
- (208) 336-7342
- NPI assigned
- Feb 21, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | M8899 | ID | Primary |
Addresses
Primary practice location
802 W Bannock St
Suite 405
Boise, ID 83702-5837
Mailing address
802 W Bannock St
Suite 405
Boise, ID 83702-5837
Phone (208) 336-7341
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M8899 | ID | MD | Legal Medicine |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Horizons Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285779496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 W BANNOCK ST",
"address_2": "SUITE 405",
"city": "BOISE",
"state": "ID",
"postal_code": "837025837",
"telephone_number": "208-336-7341",
"fax_number": "208-336-7342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 W BANNOCK ST",
"address_2": "SUITE 405",
"city": "BOISE",
"state": "ID",
"postal_code": "837025837",
"telephone_number": "208-336-7341",
"fax_number": "208-336-7342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "JAYNE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "ID",
"license": "M8899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.