Active NPI
Jordan H. Ide, MSN, FNP-BC, ANCC
- Family Nurse Practitioner
- Lebanon, NH
National Provider Identifier
1821618042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 071684-23
- Practice address
- 410 Miracle Mile
Lebanon, NH 03766-2639 - Phone
- (603) 520-7431
- NPI assigned
- Apr 17, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 101.0134678 | VT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NH | ||
| Family Nurse Practitioner | 363LF0000X | 071684-23 | NH | Primary |
Addresses
Primary practice location
410 Miracle Mile
Lebanon, NH 03766-2639
Mailing address
63 Emerald St
PMB 130
Keene, NH 03431
Phone (603) 520-7431
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 071684-23 | Other | NH | STATE OF NH BOARD OF NURSING |
| 101.0134678 | Other | VT | STATE OF VT BOARD OF NURSING |
Other names 1
- Jeanne Heath
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- 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, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
558 Mast Rd
Goffstown, NH 03045-5256
Phone (603) 232-1790
96 Daniel Webster Hwy
Belmont, NH 03220-3045
Phone (603) 267-0656
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Urgent Care Services, LLC | Current | Accepting new patients | |
| Clearchoicemd Primary Care PLLC | Past | Accepting new patients |
Locations
558 Mast Rd
Goffstown, NH 03045
Phone (603) 232-1790
7 Cinemagic Way
Hooksett, NH 03106
Phone (603) 782-5112
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.
-
- Urgent Care Clinic/Center
- Goffstown, NH
- NPI 1093295792
-
- Family Medicine Physician
- Saint Albans, VT
- NPI 1326582529
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Lebanon, NH
- NPI 1003803495
-
- Obstetrics & Gynecology Physician
- Lebanon, NH
- NPI 1093761892
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1821618042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 EMERALD ST",
"address_2": "PMB 130",
"city": "KEENE",
"state": "NH",
"postal_code": "03431",
"telephone_number": "603-520-7431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 MIRACLE MILE",
"city": "LEBANON",
"state": "NH",
"postal_code": "037662639",
"telephone_number": "603-520-7431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IDE",
"first_name": "JORDAN",
"middle_name": "H.",
"name_prefix": "Mrs.",
"credential": "MSN, FNP-BC, ANCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-17",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VT",
"license": "101.0134678",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NH",
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "071684-23",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF NH BOARD OF NURSING",
"identifier": "071684-23",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF VT BOARD OF NURSING",
"identifier": "101.0134678",
"state": "VT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JEANNE",
"last_name": "HEATH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.