Active NPI
Jennifer Lynn Newman, WHNP
- Obstetrics & Gynecology Nurse Practitioner
- Meridian, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 19792A
- Practice address
- 3520 E Louise Dr
Meridian, ID 83642-6304 - Phone
- (208) 888-0909
- Fax
- (208) 888-5825
- NPI assigned
- Dec 2, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 19792A | ID | Primary |
Addresses
Primary practice location
3520 E Louise Dr
Meridian, ID 83642-6304
Mailing address
3520 E Louise Dr
Meridian, ID 83642-6304
Phone (208) 888-0909
Other practice location 1
333 N 1st St Ste 240
Boise, ID 83702-6132
Phone (208) 338-8900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jennifer.newman.p1@direct.obgynidaho.nextgenshare.com |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3520 E Louise Dr
Meridian, ID 83642-6304
Phone (208) 888-0909
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19792A | ID | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T-Medica Mobil Anesthesia Inc. | Current | Accepting new patients | |
| West Valley Medical Group Specialty Services LLC | Current | Accepting new patients | |
| OB-GYN Associates, PA | Current | Accepting new patients |
Locations
333 N 1st St
Ste 240
Boise, ID 83702
Phone (208) 338-8900
315 E Elm St
Ste 310
Caldwell, ID 83605
Phone (208) 454-2035
875 S Vanguard Way
Ste 210
Meridian, ID 83642
3520 E Louise Dr
Meridian, ID 83642
Phone (208) 454-2035
Interoperability endpoints
- jennifer.newman.p1@direct.obgynidaho.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Meridian, ID
- NPI 1306816079
-
- Certified Registered Nurse Anesthetist
- Meridian, ID
- NPI 1306588355
-
- Obesity Medicine (Obstetrics & Gynecology) Physician
- Caldwell, ID
- NPI 1245659093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1710132931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3520 E LOUISE DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426304",
"telephone_number": "208-888-0909",
"fax_number": "208-888-5825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 E LOUISE DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426304",
"telephone_number": "208-888-0909",
"fax_number": "208-888-5825"
}
],
"practiceLocations": [
{
"address_1": "333 N 1st St Ste 240",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837026132",
"country_code": "US",
"telephone_number": "208-338-8900",
"fax_number": "208-331-2418",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWMAN",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-02",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "ID",
"license": "19792A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jennifer.newman.p1@direct.obgynidaho.nextgenshare.com",
"affiliation": "N",
"address_1": "3520 E Louise Dr",
"city": "Meridian",
"state": "ID",
"country_code": "US",
"postal_code": "836426304",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Meridian, ID
- Neurological Associates, Chartered
- Jennifer Lynn Nevala, MPT
- Neve Health LLC
- New Beginnings Baby Place LLC. (New Beginnings Birth Center)
- Brittney A Newman
- Next Step Up Corp (Coney Island Homecare Home Health Ohio)
- Alexa Koch Neynaber, NMD, ND
- Mongtu Thi Nguyen Pham, PHARM.D.
- Audrey Gyung Nguyen, PHARMD
- Brinley Pham Nguyen, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.