TYLER JUE (NPI# 1033641154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033641154 |
| Entity Type | Individual |
| Full Name | TYLER JUE |
| Credential | NP |
| Practice Address |
1055 N Curtis Rd # S6 Boise ID 83706-1309 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2083020800 |
| Practice Fax Number | 2083020855 |
| Mailing Telephone | 2083020800 |
| Mailing Fax Number | 2083020855 |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
55104 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1055 N CURTIS RD # S6 |
| City | BOISE |
| State | ID |
| Zip Code | 83706-1309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194356022 | Sabrina Bojo | Nurse Practitioner | 1576 S Oriole Way, Boise, ID 83709-1325 | 2020-01-29 |
| 1881129146 | Sara Jean Smith | Nurse Practitioner | 5966 W Curtisian Ave, Boise, ID 83704 | 2017-04-25 |
| 1447707120 | Sherri Siegel | Nurse Practitioner | 5966 W Curtisian Ave, Boise, ID 83704-8801 | 2016-09-09 |
| 1639578628 | Erin Michaelis | Nurse Practitioner | 6140 W Curtisian Ave, Ste 200, Boise, ID 83704 | 2014-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285165399 | Corine Faught | Nurse Practitioner | 1122 Starfire St, Twin Falls, ID 83301-3146 | 2017-03-21 |
| 1891310892 | Sean E Cook | Nurse Practitioner | 211 E Logan St, Caldwell, ID 83605-4882 | 2020-06-15 |
| 1205466281 | Jeanna Rae Rendo | Nurse Practitioner | 811 Nw 12th St, Fruitland, ID 83619-2268 | 2020-01-18 |
| 1205498201 | Jessica Inez Gratzer | Nurse Practitioner | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2019-07-01 |
| 1326520719 | Jose Manuel Celedon | Nurse Practitioner | 508 E Florida Ave, Nampa, ID 83686-5823 | 2018-08-31 |
| 1982115309 | Laura Eaton | Nurse Practitioner | 4740 N Penngrove Way, Ste 100, Meridian, ID 83646 | 2017-10-12 |
| 1669901245 | Stephanie Larie Thompson | Nurse Practitioner | 1510 12th Ave Rd, Ste 200, Nampa, ID 83686 | 2017-06-07 |
Please comment or provide details below to improve the information on TYLER JUE.
| 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.