Active NPI
Jeff Dean Webb
- Community Health Worker
- Nampa, ID
National Provider Identifier
1376945162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- MASG-346
- Practice address
- 412 22ND Ave S
Nampa, ID 83651-5424 - Phone
- (208) 250-6741
- Fax
- (208) 466-5226
- NPI assigned
- Sep 23, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | MASG-346 | ID | Primary |
Addresses
Primary practice location
412 22ND Ave S
Nampa, ID 83651-5424
Mailing address
412 22ND Ave S
Nampa, ID 83651-5424
Phone (208) 250-6741
Other names 1
- Jeffrey Dean Webb
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MASG-346 | ID | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1376945162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 22ND AVE S",
"city": "NAMPA",
"state": "ID",
"postal_code": "836515424",
"telephone_number": "208-250-6741",
"fax_number": "208-466-5226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 22ND AVE S",
"city": "NAMPA",
"state": "ID",
"postal_code": "836515424",
"telephone_number": "208-250-6741",
"fax_number": "208-466-5226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "JEFF",
"middle_name": "DEAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-23",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "ID",
"license": "MASG-346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEFFREY",
"last_name": "WEBB",
"middle_name": "DEAN",
"credential": "MT",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.