Drue Marie Winder, FNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

58913 Issued in ID

Practice address

3320 S 25TH E
Idaho Falls, ID 83404-4606

Phone

(208) 656-1500

NPI assigned

Jul 24, 2018

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

Other names 1

• Drue Marie Heninger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Just 4 Kids Health LLC

  • Urgent Care Clinic/Center
  • Idaho Falls, ID
  • NPI 1043722259
  NPD (past)

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1346727153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7733 S 8TH W",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834025896",
            "telephone_number": "208-520-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 S 25TH E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044606",
            "telephone_number": "208-656-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDER",
        "first_name": "DRUE",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "ID",
            "license": "58913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DRUE",
            "last_name": "HENINGER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nichole Chauntelle Wilson
• William P.D. Wilson III, M.D.
• Angela Winchester
• David Winchester, FNP
• Wind River Pain Management PLLC
• Natalie Winegar
• Shayle Wines
• Eric A Wingerson, D.O.
• Ashley Elizabeth Winward, COTA
• Jory Jarom Winward, DO

• Pediatric Nurse Practitioner in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Pediatric Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.