Individual provider Active NPI

Jessica Lyn Laplante, ARNP

  • Nurse Practitioner
  • Hayden, ID
National Provider Identifier
1487999850
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP-1486A Issued in ID
Practice address
8382 N Wayne Dr Ste 204
Hayden, ID 83835-6028
Phone
(208) 635-5265
Fax
(208) 635-5218
NPI assigned
Dec 11, 2012
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP-1486A ID Primary
Nurse Practitioner 363L00000X AP60325372 WA

Addresses

Primary practice location

8382 N Wayne Dr Ste 204
Hayden, ID 83835-6028

Mailing address

1399 N Biztown Loop
Hayden, ID 83835-5044
Phone (208) 635-5265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2020 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP-1486AIDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Pelvic Health & Physical Therapy, LLC CurrentSince Jul 7, 2024 Accepting new patients
Functional Medicine of North Idaho, PLLC Nurse Practitioner CurrentSince Jan 19, 2020 Accepting new patients
First Steps Chiropractic PLLC PastSince Sep 17, 2014 Accepting new patients
Raymond H Sjerven DO Nurse Practitioner Past Accepting new patients
8Am to 8PM Family Medicine, P.S. PastSince Apr 1, 2015 Accepting new patients
Own Family Medicine and Wellness LLC Dba Active Family Healthcare PastSince Jan 1, 2020 Accepting new patients

Locations

8382 N Wayne Dr
Ste 204
Hayden, ID 83835
Phone (208) 635-5265

9950 N Biztown Loop
Hayden, ID 83835
Phone (208) 635-5265

Organizations & group practices 6

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": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1487999850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 N BIZTOWN LOOP",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838355044",
            "telephone_number": "208-635-5265",
            "fax_number": "208-635-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8382 N WAYNE DR STE 204",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838356028",
            "telephone_number": "208-635-5265",
            "fax_number": "208-635-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPLANTE",
        "first_name": "JESSICA",
        "middle_name": "LYN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-11",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP-1486A",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60325372",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayden, ID

Sources for this page

Verify at the official NPI Registry.