Individual provider Active NPI

Jami Lynn Stroud, MS, RN, FNPC

  • Family Nurse Practitioner
  • Twin Falls, ID
National Provider Identifier
1376597559
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-336A Issued in ID
Practice address
1373 Fillmore St
Twin Falls, ID 83301-3392
Phone
(208) 737-9999
Fax
(208) 735-2426
NPI assigned
May 20, 2006
Last updated
Apr 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP-336A ID Primary

Addresses

Primary practice location

1373 Fillmore St
Twin Falls, ID 83301-3392

Mailing address

1373 Fillmore St
Twin Falls, ID 83301-3392
Phone (208) 737-9999

Other identifiers 1

IdentifierTypeStateIssuer
805037600MedicaidID

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
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
NP-336AIDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Services Behavioral Health Clinic Inc Past Accepting new patients
Gooding County Hospital District Past Accepting new patients
Psychiatric Services, PA Past Accepting new patients
St Luke's Magic Valley Regional Medical Center LTD Past Accepting new patients
St Luke's Clinic LLC PastSince Apr 28, 2015 Accepting new patients

Organizations & group practices 5

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1376597559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1373 FILLMORE ST",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013392",
            "telephone_number": "208-737-9999",
            "fax_number": "208-735-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 FILLMORE ST",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013392",
            "telephone_number": "208-737-9999",
            "fax_number": "208-735-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUD",
        "first_name": "JAMI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MS, RN, FNPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-336A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805037600",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.