Jeremy A Basse, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP1025 Issued in ID

Practice address

856 Banks Lowman Road
Garden Valley, ID 83622-0270

Phone

(208) 462-3533

Fax

(208) 462-3736

NPI assigned

Jul 10, 2008

Last updated

Mar 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbasse45121@direct.slhs.org

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.

• St Lukes Clinic-Treasure Valley LLC

  • Family Medicine Physician
  • Boise, ID
  • NPI 1326336058
  Medicare reassignment NPD
• Achieve Physical Therapy PLLC

  • Physical Therapist
  • Boise, ID
  • NPI 1659540995
  NPD (past)
• DM Management PC

  dba One on One Physical Therapy

  • Physical Therapy Clinic/Center
  • Meridian, ID
  • NPI 1336102318
  NPD (past)
• Garden Valley Family Medicine PC

  • Family Medicine Physician
  • Garden Valley, ID
  • NPI 1245312750
  NPD (past)
• St Lukes Regional Medical Center

  dba St Lukes Meridian Medical Center

  • General Acute Care Hospital
  • Boise, ID
  • NPI 1770586794
  NPD (past)

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301270400000",
    "number": "1578726485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "GARDEN VALLEY",
            "state": "ID",
            "postal_code": "836220270",
            "telephone_number": "208-462-3533",
            "fax_number": "208-462-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 BANKS LOWMAN ROAD",
            "city": "GARDEN VALLEY",
            "state": "ID",
            "postal_code": "836220270",
            "telephone_number": "208-462-3533",
            "fax_number": "208-462-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSE",
        "first_name": "JEREMY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2011-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "1036",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP1025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley M Albright, LCP
• Sharon G Alden-Svenson
• Mikayla A Alexis
• Teliesha Batuik, MSW
• Martha Bollich, MS OTR/L
• Benjamin Dean Brown, PA-C
• County of Boise 71 Garden Valley
• Sharon Lynne Cranston

• Family Nurse Practitioner in Garden Valley, ID
• Providers in Garden Valley, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.