Edge Medical LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EDGE MEDICAL LLC

Doing business as

Initial Point Family Medicine

Practice address

2640 S Eagle Rd
Meridian, ID 83642-6704

Phone

(208) 884-0835

Fax

(208) 884-4794

NPI assigned

Dec 9, 2024

Organization subpart

No

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

Authorized official

Name

Kathleen Nielsen, PA-CNPI 1336196757

Title

Owner

Phone

(208) 884-0835

Specialties & licenses 1

Addresses

Other names 1

• Initial Point Family Medicine Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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

• Kathleen Rose Nielsen, PA

  • Physician Assistant
  • Meridian, ID
  • NPI 1336196757
  NPD Authorized official
• Mark S Grajcar, DO

  • Family Medicine Physician
  • Meridian, ID
  • NPI 1669416137
  NPD
• Christi E Franks, FNP-BC

  • Family Nurse Practitioner
  • Eagle, ID
  • NPI 1609230374
  NPD (past)
• Yelena Frunchak, M.S., F.N.P.

  • Family Nurse Practitioner
  • Meridian, ID
  • NPI 1265710776
  NPD (past)
• Janae Michelle Jensen, FNP

  • Family Nurse Practitioner
  • Meridian, ID
  • NPI 1255030045
  NPD (past)
• Erin Love McDermott, PA-C

  • Family Medicine Physician
  • Meridian, ID
  • NPI 1790269389
  NPD (past)

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1922814474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 S EAGLE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426704",
            "telephone_number": "208-884-0835",
            "fax_number": "208-884-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 S EAGLE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426704",
            "telephone_number": "208-884-0835",
            "fax_number": "208-884-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-884-0835",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Initial Point Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Eaton, NP-C
• Lori Nicole Eaton, LCSW
• Blair Eby, NP
• Echo Base Counseling
• Echos of Change Counseling, LLC
• Edgewood Spring Creek Meridian, LLC
• Edgewood Spring Creek Ustick, LLC
• Amy Beth Edwards, FNP-C
• Christopher Allen Edwards, DPT
• Janice Edwards

• Family Medicine Physician in Meridian, ID
• Providers in Meridian, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.