IndividualActive
Jackie Kayne-Sherar, PEER SUPPORT
NPI 1154947950 · Community Health Worker · Coeur D Alene, ID
Provider details
- NPI number
- 1154947950
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Credential
- PEER SUPPORT
- Sex
- Female
- Sole proprietor
- No
- License
- 0 (ID)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2025 W Park Pl Ste B
Coeur D Alene, ID 83814-2787
Phone: (208) 620-5210
Fax: (844) 807-3782
Street-level locationGet directions
Mailing address
Po Box 1387
Hayden, ID 83835-1387
Registry dates
- Enumerated
- 2020-06-18
- Last updated
- 2020-06-18
- Certified
- 2020-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.