MARY SANDRA DUFF (NPI# 1013987585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013987585 |
| Entity Type | Individual |
| Full Name | MARY SANDRA DUFF |
| Credential | ARNP |
| Practice Address |
920 W Ironwood Dr Coeur D Alene ID 83814-2463 |
| Practice Telephone | 2086674557 |
| Practice Fax Number | 2087652887 |
| Mailing Telephone | 2086674557 |
| Mailing Fax Number | 2087652887 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2010-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP303A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 804132800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649579319 | Mary Beth Duff | Nurse Practitioner | 927 N James Campbell Blvd, Suite 102, Columbia, TN 38401-2753 | 2011-03-21 |
| 1952410862 | Mary H Duff | Obstetrics & Gynecology | 1000 E Primrose St, Suite 400, Springfield, MO 65807-5154 | 2006-08-30 |
| Street Address |
920 W IRONWOOD DR |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336119932 | Donald Robert Chisholm | Family Medicine | 920 W Ironwood Dr, Coeur D Alene, ID 83814-2463 | 2006-01-25 |
| 1457721011 | Jessica Capaul | Nurse Practitioner | 920 W Ironwood Dr, Suite 101, Coeur D Alene, ID 83814-2463 | 2015-09-25 |
| 1710226220 | Idaho Hand & Upper Extremity Therapy Dme | Durable Medical Equipment & Medical Supplies | 920 W Ironwood Dr, Suite 207, Coeur D Alene, ID 83814-2463 | 2013-02-04 |
| 1780881516 | Kristen Leigh Pedersen | Occupational Therapist | 920 W Ironwood Dr, Suite 207, Coeur D Alene, ID 83814-2463 | 2007-06-27 |
| 1902996887 | Kootenai Medical Center Kootenai Physicians Clinic | Specialist | 920 W Ironwood Dr, Coeur D Alene, ID 83814-2463 | 2006-10-13 |
| 1841397304 | Barbara A Daugharty | Internal Medicine | 920 W Ironwood Dr, Suite 201, Coeur D Alene, ID 83814-2463 | 2006-09-19 |
| 1205847373 | Audrey S Buckland | Physician Assistant | 920 W Ironwood Dr, Suite 101, Coeur D Alene, ID 83814-2463 | 2006-08-11 |
| 1700857729 | David Lynn Chambers | Specialist | 920 W Ironwood Dr, Suite 101, Coeur D Alene, ID 83814-2463 | 2006-01-28 |
| 1609847615 | Timothy Francis Burns | Specialist | 920 W Ironwood Dr, Coeur D Alene, ID 83814-2463 | 2006-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114438033 | Meghan Gregg | Nurse Practitioner | 1919 Lincoln Way Ste 211, Coeur D Alene, ID 83814-2527 | 2017-10-18 |
| 1295283810 | Family Practice By The Lake | Nurse Practitioner | 1875 N Lakewood Dr Ste 205, Coeur D Alene, ID 83814-4928 | 2016-09-12 |
| 1568887503 | Amber Hanson | Nurse Practitioner | 7600 N Mineral Dr Ste 450, Coeur D Alene, ID 83815-7709 | 2014-02-27 |
| 1447536685 | Tara Teresa Flores | Nurse Practitioner | 2177 W Ironwood Center Dr, Coeur D Alene, ID 83814 | 2011-11-02 |
| 1669779955 | Annette L Asper | Nurse Practitioner | 1233 N Northwood Center Ct, Coeur D Alene, ID 83814 | 2011-02-22 |
| 1326271032 | Ellee S Reichert | Nurse Practitioner | 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814-2527 | 2009-08-27 |
| 1922218437 | Susan K Trenkle | Nurse Practitioner | 2251 W Ironwood Center Dr, Coeur D Alene, ID 83814-2665 | 2007-05-23 |
| 1063454981 | Jennifer Fletcher | Nurse Practitioner | 919 W Canfield Ave, Coeur D Alene, ID 83815-9764 | 2006-06-12 |
| 1740233345 | Margaret A Wasserman | Nurse Practitioner | 2022 Government Way, Coeur D Alene, ID 83814 | 2006-05-18 |
| 1598720989 | Laurie Foutty | Nurse Practitioner | 700 W Ironwood Dr Ste 120e, Coeur D Alene, ID 83814-7008 | 2006-04-19 |
| Find all providers in COEUR D ALENE | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.