THIAGO ALBERTO (NPI# 1023650512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023650512 |
| Entity Type | Individual |
| Full Name | THIAGO ALBERTO |
| Credential | NP |
| Practice Address |
5601 W Chinden Blvd Garden City ID 83714-1463 |
| Mailing Address |
Po Box 191050 Boise ID 83719-1050 |
| Practice Telephone | 2088092865 |
| Practice Fax Number | 2088092866 |
| Mailing Telephone | 2089556500 |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2020-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 62877 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5601 W CHINDEN BLVD |
| City | GARDEN CITY |
| State | ID |
| Zip Code | 83714-1463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053395772 | Donna Marie Horan | Nurse Practitioner | 5601 W Chinden Blvd, Garden City, ID 83714 | 2005-12-06 |
| 1881246106 | Erin R Barker | Physician Assistant | 5601 W Chinden Blvd, Garden City, ID 83714-1463 | 2019-07-16 |
| 1255602918 | Frank Duncan Macdonald Jr. | Family Medicine | 5601 W Chinden Blvd, Garden City, ID 83714-1463 | 2012-01-25 |
| 1700828241 | Angela L House | Family Medicine | 5601 W Chinden Blvd, Garden City, ID 83714-1463 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932683752 | Ikdo State Street LLC | Dentist | 9209 W State St, Garden City, ID 83714 | 2018-09-18 |
| 1437608007 | Carrie Boroughs Breaux | Ophthalmology | 5019 N Sawyer Ave, Garden City, ID 83714 | 2016-09-23 |
| 1841646007 | Alliance Medical Group, LLC | Family Medicine | 5601 W. Chinden Blvd., Garden City, ID 83714 | 2016-05-06 |
| 1134580467 | Rebecca Gillet | Physical Therapist | 6576 W Dufferin Ct, Boise, ID 83714 | 2016-03-15 |
| 1063816007 | Ingri Suzanne Koloski | Counselor | 8969 West Hepburn Lane, Garden City, ID 83714 | 2014-10-20 |
| 1679909329 | Anile Nina | Counselor | 5484 N Gary Lane, Boise, ID 83714 | 2013-09-25 |
| 1215360292 | William Blake Bybee | Dentist | 5833 W. Hidden Springs Dr., Boise, ID 83714 | 2013-08-14 |
| 1871833327 | Charmaine Read | Social Worker | 123 E. 44th St, Ste. A, Garden City, ID 83714 | 2013-02-20 |
| 1811206576 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 5220 Sawyer Court, Suite D, Garden City, ID 83714 | 2010-09-29 |
| 1073780680 | Barry Lynn Williams | Pharmacist | 7020 W State Street, Boise, ID 83714 | 2008-05-13 |
| Find all providers in zip 83714 | ||||
| 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 |
|---|---|---|---|---|
| 1427426360 | James M Clements | Nurse Practitioner | 401 East Spruce, Garden City, KS 67846-5679 | 2015-09-09 |
| 1003883307 | Sunshines Nursing Horizons Inc | Nurse Practitioner | 2718 N Cummings Rd, Suite W, Garden City, KS 67846 | 2006-03-06 |
| 1881231140 | Olivia Christine Poplin | Nurse Practitioner | 401 E Spruce St, Garden City, KS 67846-5679 | 2019-12-05 |
| 1336601004 | Tamara N Moody | Nurse Practitioner | 401 E Spruce St, Garden City, KS 67846-5679 | 2019-04-02 |
| 1992286421 | Cynthia Monique Leon | Nurse Practitioner | 200 Garden City Plz Ste 100, Garden City, NY 11530-3337 | 2018-08-23 |
| 1780182188 | Tracy Britton Flynn | Nurse Practitioner | 1401 Franklin Ave, Garden City, NY 11530 | 2018-01-31 |
| 1366953473 | Jamie Fineran | Nurse Practitioner | 29150 Ford Rd, Garden City, MI 48135-2848 | 2017-10-16 |
| 1801319181 | Kandi L Arwine | Nurse Practitioner | 712 Saint John St, Garden City, KS 67846 | 2017-07-19 |
| 1356862510 | Megan M Stoppel | Nurse Practitioner | 311 E Spruce St, Garden City, KS 67846-5614 | 2017-06-28 |
| 1871021436 | Tina Sue Trujillo | Nurse Practitioner | 311 E Spruce St, Garden City, KS 67846-5614 | 2017-05-26 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 83714 |
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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.