Gem Family Practice

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP238A Issued in ID

Legal business name

GEM FAMILY PRACTICE

Practice address

1108 S Washington Ave
Emmett, ID 83617-3535

Phone

(208) 365-3455

Fax

(208) 365-3422

NPI assigned

Dec 18, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Deborah A Casdorph, FNP

Title

FNP

Phone

(208) 365-3455

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407919749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 S WASHINGTON AVE",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836173535",
            "telephone_number": "208-365-3455",
            "fax_number": "208-365-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 S WASHINGTON AVE",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836173535",
            "telephone_number": "208-365-3455",
            "fax_number": "208-365-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEM FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASDORPH",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "208-365-3455",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP238A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010017986",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "NP190",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Gardner, LMT
• Cy Lynn Garner, ATC, CSCS.
• Marion Leslie Gasparotti, MASSAGE THERAPIST
• Bobbi Jo Geiger, LCPC
• Gem Family Medicine LLC
• Gem Family Practice, Inc
• Gem Healthcare, Inc. (River's Edge Rehabilitation and Living Center)
• Gem Home Health
• Gem Home Medical Inc
• Gem Vision, PC (Gem Vision)

• Nurse Practitioner in Emmett, ID
• Providers in Emmett, ID by specialty
• Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.