NPI age
5 years
Enumerated 2020-07-01
● Active Type 2 · Organization
Jennda Llc
Jennda Llc is 1 of 34 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hawkins
Co-Owner
Last NPPES update
2020-07-01
Source: monthly bulk 2026-05
How this organization compares
Across 34 active clinic/center providers in Idaho.
NPI age
5 years
≈ at median (6 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-07Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
4305 N Royal St
Coeur D Alene, ID 838159237
Mailing address
Po Box 19604
Spokane, WA 992190034
Authorized official
Jennifer Ann Hawkins, MS, SUDP
Co-Owner
📞 2088898594
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.