Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jamie Gudmunson

Individual provider Family Nurse Practitioner · NPI 1669853719

Jamie Gudmunson is a Nurse Practitioner in Saint Anthony, Idaho. Qualified in 2015, 11 years ago. Accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
11
Licensed in
ID
In the registry since
2015

Practice location Address checks out

30 W Main St
Saint Anthony, ID 83445-2113
Phone: (208) 624-2969
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP-1574A (ID)

Record details

NPI number1669853719
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 15, 2015
Last updated in NPPESJanuary 2, 2023
Certification dateJanuary 2, 2023
Mailing address30 W Main St, Saint Anthony, ID 83445-2113

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Anthony