NPIMap

Organization Active NPI

West Jefferson Family Health

  • Physician Assistant
  • Saint Anthony, ID
National Provider Identifier
1295951382
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
ID-197 Issued in ID
Legal business name
WEST JEFFERSON FAMILY HEALTH
Practice address
39 N. 8TH W
Saint Anthony, ID 83445
Phone
(208) 419-6423
Fax
(208) 379-3520
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Brett W Zundel, PA-CNPI 1730222365
Title
Owner/Provider
Phone
(208) 419-6423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X ID-197 ID Primary

Addresses

Primary practice location

39 N. 8TH W
Saint Anthony, ID 83445

Mailing address

39 N. 8TH W
Saint Anthony, ID 83445
Phone (208) 419-6423

Other identifiers 3

IdentifierTypeStateIssuer
PAYL7OtherIDBLUE CROSS
805130800MedicaidID
000010006458OtherIDBLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1295951382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 N. 8TH W",
            "city": "SAINT ANTHONY",
            "state": "ID",
            "postal_code": "83445",
            "telephone_number": "208-419-6423",
            "fax_number": "208-379-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 N. 8TH W",
            "city": "SAINT ANTHONY",
            "state": "ID",
            "postal_code": "83445",
            "telephone_number": "208-419-6423",
            "fax_number": "208-379-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST JEFFERSON FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "ZUNDEL",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "208-419-6423",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "ID-197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "PAYL7",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805130800",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010006458",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Anthony, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.