NPI age
4 years
Enumerated 2021-06-22
● Active Type 2 · Organization
Subpart
Madison Co Memorial Hospital
Madison Co Memorial Hospital is 1 of 374 nurse practitioner organizations in Idaho.
Primary specialty
Nurse Practitioner
Plus 2 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Tanner
Ambulatory Revenue Manager
Last NPPES update
2026-02-02
Source: monthly bulk 2026-05
How this organization compares
Across 374 active nurse practitioner providers in Idaho.
NPI age
4 years
≈ at median (4 yr)
Practice locations
2
1 secondary on file
Subspecialties
2
In the 34% of peers with subspecialties
NPI lifetime · 2021 → 2026
2021-06Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
393 E 2nd N
Rexburg, ID 834401605
Mailing address
Po Box 130
Rexburg, ID 834400130
Additional practice locations
1 secondary location on file with NPPES.
Location 2
37 S 2nd E
Rexburg, ID 834401906
Authorized official
Jaime Tanner
Ambulatory Revenue Manager
📞 2083597682
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Jeffrey Anderson, MS, CCC-SLP Speech-Language Pathologist NPI 1063684421
- Rebecca Anderson, M.S. Occupational Therapist NPI 1861653909
- Liam Barnard, LMSW Social Worker NPI 1427748656
- David Batt, PA Physician Assistant NPI 1518212265
- Brigham Bice, P.T. Physical Therapist NPI 1497203798
- Kaylonnie Blumenberg, LMSW Social Worker NPI 1962114710
- Britney Bochenek, PMHNP-BC Nurse Practitioner NPI 1568277598
- Colby Brower, MD Family Medicine NPI 1689237752
- Zachery Brunson, PA-C Physician Assistant NPI 1447296785
- Rayo Budge, LPC Counselor NPI 1891425294
- Brandon Buhler, LMFT Marriage & Family Therapist NPI 1881823979
- Tiffany Burgess Physical Therapist NPI 1639518681
- Sara Carter, SLP Speech-Language Pathologist NPI 1790046829
- Cody Castellaw, DPT Physical Therapist NPI 1154728426
- Susan Clark, MS, RD, LD, CDE Dietitian, Registered NPI 1124676663
- Jeffery Clift, MOT Occupational Therapist NPI 1629300173
- Jessica Cook Occupational Therapist NPI 1194173344
- Bradley Cordero, DPT Physical Therapist NPI 1932494002
- Matthew Daybell Occupational Therapist NPI 1982770277
- Elizabeth Debroux, LPC Counselor NPI 1689334575
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Psychiatry & NeurologyA Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders...
-
Social WorkerA social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Madisonhealth Psychiatry and Counseling
-
Madison Memorial Behavioral Health Clinic
Practice context
Multi-provider organization. 20 individual providers on file at this primary address. Plus 1 secondary practice location.
Subpart of Madison Co Memorial Hospital.
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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.