Organization Active NPI

Jennifer C Maire DNP Pmhnp

  • Psychiatric/Mental Health Nurse Practitioner
  • Rexburg, ID
National Provider Identifier
1790622819
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
JENNIFER C MAIRE DNP PMHNP
Practice address
343 E 4TH N
Rexburg, ID 83440-6002
Phone
(208) 671-7013
Fax
(208) 932-4319
NPI assigned
Apr 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Jennifer Christine Maire, DNP, PMHNP-BCNPI 1437765344
Title
Owner, DNP, Pmhnp
Phone
(208) 671-7013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

343 E 4TH N
Rexburg, ID 83440-6002

Mailing address

1999 S 25TH E Ste 1016
Ammon, ID 83406-5710
Phone (208) 671-7013

National Provider Directory

National Provider Directory

Locations

1999 S 25th E
Ammon, ID 83406
Phone (208) 671-7013

343 E 4th N
Rexburg, ID 83440
Phone (208) 671-7013

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1777420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1790622819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 S 25TH E STE 1016",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834065710",
            "telephone_number": "208-671-7013",
            "fax_number": "208-932-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 E 4TH N",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834406002",
            "telephone_number": "208-671-7013",
            "fax_number": "208-932-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER C MAIRE DNP PMHNP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "MAIRE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER, DNP, PMHNP",
        "authorized_official_telephone_number": "208-671-7013",
        "authorized_official_credential": "DNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.