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MINDY LEE DEGEUS NP-C NPI 1316589278


NPI Information

NPI: 1316589278
Provider Name: MINDY LEE DEGEUS, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: BLOOM CARE LLC

PECOS Registration: Yes

Address:
39 W PINE AVE STE B20
MERIDIAN, ID
ZIP 83642
Phone: (208) 286-8670
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Mindy Lee Degeus, NP-C is a family nurse practitioner in Meridian, ID with 5 years of experience. Mindy Lee Degeus, NP-C NPI is 1316589278. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

39 W PINE AVE STE B20
MERIDIAN, ID
ZIP 83642-412
Phone: (208) 286-8670
Fax: (888) 990-2969

The NPI 1316589278 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/11/2019 and was last updated on 12/15/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily62731IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.