NADEZHDA KRAVCHUK (NPI# 1033686076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033686076 |
| Entity Type | Individual |
| Full Name | NADEZHDA KRAVCHUK |
| Credential | NP-C |
| Practice Address |
1150 N Sister Catherine Way Nampa ID 83687 |
| Mailing Address |
3340 E Goldstone Dr. Meridian ID 83642 |
| Practice Telephone | 2083027000 |
| Practice Fax Number | 2083027055 |
| Mailing Telephone | 2083027000 |
| Mailing Fax Number | 2083027055 |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2019-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 59965 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
59965 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1150 N SISTER CATHERINE WAY |
| City | NAMPA |
| State | ID |
| Zip Code | 83687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790786515 | Mario Brus | Pediatrics | 1150 N Sister Catherine Way, Nampa, ID 83687 | 2005-08-02 |
| 1144738717 | Justin Willis Devinaspre | Nurse Practitioner | 1150 N Sister Catherine Way, Nampa, ID 83687 | 2018-01-17 |
| 1821458241 | Danae Elizabeth Perkins | Physician Assistant | 1150 N Sister Catherine Way, Nampa, ID 83687 | 2016-02-26 |
| 1548644099 | Amanda Dozier | Nurse Practitioner | 1150 N Sister Catherine Way, Nampa, ID 83687 | 2015-07-15 |
| 1790105518 | Kristen Young | Family Medicine | 1150 N Sister Catherine Way, Nampa, ID 83687 | 2014-04-19 |
| 1285077701 | Ryan G Townsend | Internal Medicine | 1150 N Sister Catherine Way, Nampa, ID 83687-3133 | 2013-04-15 |
| 1427314475 | Katherine Latham Ball | Family Medicine | 1150 N Sister Catherine Way, Nampa, ID 83687 | 2012-04-04 |
| 1629354121 | Jami Lea Hoke | Physician Assistant | 1150 N Sister Catherine Way, Nampa, ID 83687-3133 | 2011-10-27 |
| 1265693386 | Bridgette M Baker | Family Medicine | 1150 N Sister Catherine Way, Nampa, ID 83687 | 2008-06-20 |
| 1629107131 | Howard W Shoemaker | Preventive Medicine | 1150 N Sister Catherine Way, Nampa, ID 83687 | 2007-03-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307447 | Current Physical Therapy Nampa LLC | Physical Therapist | 16150 N High Desert Street, Nampa, ID 83687 | 2020-02-10 |
| 1356867683 | Nampa of Cascadia, LLC | Skilled Nursing Facility | 900 North Happy Valley Rd, Nampa, ID 83687 | 2017-08-18 |
| 1750828513 | Daniel & Max, LLC | Optometrist | 1600 Karcher Rd, Nampa, ID 83687 | 2017-01-31 |
| 1578965422 | Jorge Domingo Reyes | Counselor | 5700 E. Franklin Rd., Suite 220-i, Nampa, ID 83687 | 2014-09-23 |
| 1619302080 | David Lyle Farris | Dentist | 16548 North Franklin Blvd., Nampa, ID 83687 | 2013-09-04 |
| 1871934547 | Ian Zafar Qureshi | Internal Medicine | 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 | 2013-07-10 |
| 1457696783 | Laurel Evans | Specialist/Technologist | 850 W. St. Luke's Dr., Suite 215, Nampa, ID 83687 | 2012-11-27 |
| 1750641197 | Andrea Patricia Fitzer | Nurse Practitioner | 4400 E. Flamingo Ave, Nampa, ID 83687 | 2012-05-18 |
| 1679846182 | Ivony Case Management | Case Management | 811 12th Street, Ste. 2, Nampa, ID 83687 | 2012-02-14 |
| 1699043679 | Saltzer Medical Group, P.a. | Durable Medical Equipment & Medical Supplies | 9850 W St Lukes Drive, Nampa, ID 83687 | 2011-12-06 |
| Find all providers in zip 83687 | ||||
| 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 |
|---|---|---|---|---|
| 1700213287 | Xl Hospice | Nurse Practitioner | 312 3rd St S, Nampa, ID 83651-3717 | 2013-09-30 |
| 1750641197 | Andrea Patricia Fitzer | Nurse Practitioner | 4400 E. Flamingo Ave, Nampa, ID 83687 | 2012-05-18 |
| 1417246158 | Regional Physician Services of Idaho, PC | Nurse Practitioner | 1105 2nd St S Ste 100, Nampa, ID 83651-3911 | 2011-04-04 |
| 1326132432 | Karen Ann Bean | Nurse Practitioner | Treasure Valley Gastroenterology, 222 W. Iowa Avenue Suite A, Nampa, ID 83686 | 2006-10-03 |
| 1629161625 | Andrea L Schooler-smith | Nurse Practitioner | 223 16th Ave, Nampa, ID 83687 | 2006-10-02 |
| 1477504090 | Saint Alphonsus Physician Services Inc | Nurse Practitioner | 211 W Iowa Ave, Nampa, ID 83686-2834 | 2006-05-16 |
| 1366492084 | Saint Alphonsus Physician Services Inc | Nurse Practitioner | 1200 Garrity Blvd, Nampa, ID 83687-3402 | 2006-05-11 |
| 1033190582 | Carolyn G Barnhart | Nurse Practitioner | 1375 N Happy Valley Rd, Nampa, ID 83687-5280 | 2005-11-10 |
| 1780674770 | Paul H Christensen | Nurse Practitioner | 215& E Hawaii Ave, Nampa, ID 83686-6011 | 2005-10-21 |
| 1922001478 | Stephen J Zeimantz | Nurse Practitioner | 3165 E Greenhurst Rd, Nampa, ID 83686-8655 | 2005-05-28 |
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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.