Jennifer L Cruise, CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

St. Luke'S Meridian Medical Center
520 S Eagle Rd
Meridian, ID 83642

Phone

(208) 406-5001

NPI assigned

Oct 18, 2023

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 18, 2023.

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1447032016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 W ALGONA DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836467436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. LUKE'S MERIDIAN MEDICAL CENTER",
            "address_2": "520 S EAGLE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-406-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUISE",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan B. Crothers, PT
• Robin Renee Crowe, LMSW
• Anne Crowl, PA
• Colleen M Crowley Jarvis, DDS
• Brian Keith Crownover, MD, FAAFP
• Jarrod Vaughn Crump, NP
• William L Crump III, MD
• Jay M. Crutchfield, MD FACS
• Krista Crutchfield, PTA
• CSC Dental PC

• All providers in Meridian, ID
• Surgical Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.