1. Home
  2. Directory
  3. Idaho
  4. Grangeville
  5. Nurse Practitioner
  6. NPI Profile

IDAHO COUNTY DERMATOLOGY, PLLC
NPI 1922835859
Nurse Practitioner in Grangeville, ID

Active since September 16, 2024
113 S A ST, GRANGEVILLE, ID 83530(208) 695-6668 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 7, 2025, Sep 16, 2024 (2 updates tracked since 2024).

About Idaho County Dermatology, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDAHO COUNTY DERMATOLOGY, PLLC (NPI 1922835859) is a healthcare organization registered as a nurse practitioner in Grangeville, Idaho and active in the NPI registry since September 2024. The organization lists Jeanna Rendo, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1922835859
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameIDAHO COUNTY DERMATOLOGY, PLLC
Location Address113 S A STGrangeville, ID 83530-1428
Mailing Address113 S A StGrangeville, ID 83530-1428 · (208) 717-4940 · Fax (208) 717-4990
Phone(208) 695-6668
Organization SubpartNo
Authorized OfficialJeanna RendoOwner/provider · (208) 695-6668
Enumeration DateSeptember 16, 2024
Last NPPES UpdateFebruary 7, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2025
✔ NPI 1922835859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
113 S A ST, Grangeville, ID 83530
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES M HAUG D.C.
Chiropractor
113 S A ST
GRANGEVILLE, ID 83530
Idaho County (208) 983-2458
HAUG CHIROPRACTIC CLINIC, P.A.
Clinic/Center
113 S A ST
GRANGEVILLE, ID 83530
Idaho County (208) 983-2458

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Idaho County Dermatology, PLLC's NPI number?

The NPI number for Idaho County Dermatology, PLLC is 1922835859. It was assigned to this organization in the NPPES registry on September 16, 2024.

Where is Idaho County Dermatology, PLLC located?

Idaho County Dermatology, PLLC is located at 113 S A St, Grangeville, ID 83530. The listed phone number is (208) 695-6668.

What is Idaho County Dermatology, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Idaho County Dermatology, PLLC was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.