ELIZABETH ANN MERTEN (NPI# 1033628540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033628540 |
| Entity Type | Individual |
| Full Name | ELIZABETH ANN MERTEN |
| Other Name | ELIZABETH MERTEN MONTGOMERY |
| Practice Address |
1720 N Westgate Dr Ste A-1 Boise ID 83704-7164 |
| Mailing Address |
Po Box 83720 Boise ID 83720-0026 |
| Practice Telephone | 2083340730 |
| Mailing Telephone | 2083340730 |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2017-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1720 N WESTGATE DR STE A-1 |
| City | BOISE |
| State | ID |
| Zip Code | 83704-7164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780046367 | Tim Johns | Social Worker | 1720 N Westgate Dr Ste A-1, Boise, ID 83704-7164 | 2016-03-23 |
| 1720644347 | Marika Joubert | Counselor | 1720 N Westgate Dr Ste A-1, Boise, ID 83704-7164 | 2019-05-20 |
| 1891359980 | Miriam Patricia Southern | Social Worker | 1720 N Westgate Dr Ste A-1, Boise, ID 83704-7164 | 2019-04-24 |
| 1528529450 | Cathy Garcia | Registered Nurse | 1720 N Westgate Dr Ste A-1, Boise, ID 83704-7164 | 2019-03-25 |
| 1407315013 | John Davis IIi | Counselor | 1720 N Westgate Dr Ste A-1, Boise, ID 83704-7164 | 2019-03-14 |
| 1184197311 | Niculina Bistriceanu | Registered Nurse | 1720 N Westgate Dr Ste A-1, Boise, ID 83704-7164 | 2019-01-10 |
| 1356825772 | Susan Andrews | Registered Nurse | 1720 N Westgate Dr Ste A-1, Boise, ID 83704-7164 | 2018-09-21 |
| 1801377361 | Kyle Gregg Young | Social Worker | 1720 N Westgate Dr Ste A-1, Boise, ID 83704-7164 | 2018-08-23 |
| 1922584382 | Almedina Toomey | Social Worker | 1720 N Westgate Dr Ste A-1, Boise, ID 83704-7164 | 2018-07-18 |
| 1043737091 | Dori Shaner | Counselor | 1720 N Westgate Dr Ste A-1, Boise, ID 83704-7164 | 2017-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733694 | Susan L Boone | Student in an Organized Health Care Education/Training Program | 8506 W Donnybrook Dr, Boise, ID 83709-0606 | 2020-09-02 |
| 1730715855 | Madison Hiatt | Student in an Organized Health Care Education/Training Program | 1209 W Targee St, Boise, ID 83706-4565 | 2020-03-20 |
| 1053946202 | Kaitlyn Casper | Student in an Organized Health Care Education/Training Program | 267 W Arrowrock Ln, Boise, ID 83706-4802 | 2020-03-09 |
| 1952955825 | Lani Jo Hernandez | Student in an Organized Health Care Education/Training Program | 6200 N River Pointe Dr Apt B203, Boise, ID 83714-1848 | 2019-07-30 |
| 1033679865 | Bryce Ellis Turnbull | Student in an Organized Health Care Education/Training Program | 1128 S Garden Pl, Boise, ID 83705-5845 | 2019-03-20 |
| 1306331186 | Alexander Combs | Student in an Organized Health Care Education/Training Program | 5526 N Rothmans Ave, Boise, ID 83713-0950 | 2018-06-25 |
| 1528552031 | Matthew James Wolter | Student in an Organized Health Care Education/Training Program | 3145 S Falling Brook Ln, Boise, ID 83706-5205 | 2018-06-18 |
| 1376037218 | Avery Garner | Student in an Organized Health Care Education/Training Program | 12371 W Goldenrod Ave, Boise, ID 83713-0001 | 2018-06-14 |
| 1760914345 | Hugo Cesar Araujo Lino | Student in an Organized Health Care Education/Training Program | 869 E Holly St, Boise, ID 83712-7840 | 2017-04-01 |
| 1740711019 | Ryan James Blaser | Student in an Organized Health Care Education/Training Program | 912 W Hays St Apt 4, Boise, ID 83702-5461 | 2017-03-27 |
| Find all providers in BOISE | ||||
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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.