Jessi Noah

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1720 18TH Ave
Lewiston, ID 83501-4047

Phone

(208) 746-4097

Fax

(208) 746-2294

NPI assigned

Nov 15, 2024

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)

Not enrolled

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1295550218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 18TH AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014047",
            "telephone_number": "208-746-4097",
            "fax_number": "208-746-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 18TH AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014047",
            "telephone_number": "208-746-4097",
            "fax_number": "208-746-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOAH",
        "first_name": "JESSI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nez Perce County
• Glenn Nicholas Jr., D.C.
• Lauren Nichols
• Abigail Rachel Niculas, DPT
• Julie Ann Nielsen, RN
• Norco, Inc.
• North Central District Health Department
• North Central District Health Department
• Northwest Children'S Home
• Northwest Children'S Home

• All providers in Lewiston, ID
• Peer Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.