JAMIE BUMGARDNER RN NPI 1679368658

NPI Information

  • NPI: 1679368658
  • Provider Name: JAMIE BUMGARDNER, RN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 280 E CORPORATE DR STE 200
    MERIDIAN, ID
    ZIP 83642
  • Phone: (208) 283-7314

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NPI Details

Jamie Bumgardner, RN is a psychiatric/mental health nurse practitioner in Meridian, ID with 1 years of experience. Jamie Bumgardner, RN NPI is 1679368658. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

280 E CORPORATE DR STE 200
MERIDIAN, ID
ZIP 83642-953
Phone: (208) 283-7314

The NPI 1679368658 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 4/11/2025 and was last updated on 9/4/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health6471067IDAHOYes

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: 11/21/2025

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