Individual provider Active NPI

Erin McKeever Jerde

  • Family Nurse Practitioner
  • Liberty Lake, WA
National Provider Identifier
1750065462
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F337743-01 Issued in NY
Practice address
1431 N Liberty Lake Rd
Liberty Lake, WA 99019-8522
Phone
(509) 928-6700
NPI assigned
Jun 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X N361449896 WA
Family Nurse Practitioner 363LF0000X 67722 ID
Family Nurse Practitioner 363LF0000X F337743-01 NY Primary

Addresses

Primary practice location

1431 N Liberty Lake Rd
Liberty Lake, WA 99019-8522

Mailing address

15250 N Wildcat Creek Rd
Hayden Lake, ID 83835-5021
Phone (847) 830-5045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231014000408 WA Practitioner - Nurse Practitioner 2365897162 Reassigns benefits to 1 organization
I20250326001389 ID Practitioner - Nurse Practitioner 2365897162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unlimited Health ChiropracticGroup PAC ID 7315071339, 17 clinicians

Practice addresses (Care Compare)

320 E Neider Ave
Suite 103
Coeur D Alene, ID 83815-6007
Phone (208) 930-4944

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F337743-01NYMDFamily Nurse Practitioner
N361449896WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Liberty Lake P C CurrentSince Sep 15, 2023 Accepting new patients
Unlimited Health Chiropractic CurrentSince Mar 18, 2025 Accepting new patients
Radia Inc P S PastSince Jun 18, 2023 Accepting new patients
Restoration Medical Group LLC Past Accepting new patients
Healthy Living Premier Medical PLLC PastSince Jun 18, 2023 Accepting new patients

Locations

320 E Neider Ave
Ste 103
Coeur D Alene, ID 83815
Phone (208) 930-4944

1431 N Liberty Lake Rd
#B
Liberty Lake, WA 99019
Phone (509) 342-3990

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1750065462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15250 N WILDCAT CREEK RD",
            "city": "HAYDEN LAKE",
            "state": "ID",
            "postal_code": "838355021",
            "telephone_number": "847-830-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 N LIBERTY LAKE RD",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990198522",
            "telephone_number": "509-928-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERDE",
        "first_name": "ERIN",
        "middle_name": "MCKEEVER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "N361449896",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "67722",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F337743-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Lake, WA

Sources for this page

Verify at the official NPI Registry.