ERIN BASS (NPI# 1063872604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063872604 |
| Entity Type | Individual |
| Full Name | ERIN BASS |
| Other Name | ERIN ABROMEIT |
| Practice Address |
30410 Highway 200 Ponderay ID 83852-9601 |
| Mailing Address |
Po Box 2160 Sandpoint ID 83864-0908 |
| Practice Telephone | 2082637101 |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP-1712A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | ID LICENSE | NP-1712A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871950261 | Erin Bass | Nurse Anesthetist, Certified Registered | 101 Silvey Rd Rd, Huntsville, AL 35801-4421 | 2016-01-15 |
| 1679046585 | Erin Hamilton Bass | Nurse Practitioner | 1887 Spillway Rd, Brandon, MS 39047-6066 | 2019-01-03 |
| 1245508506 | Erin Cox Bass | Social Worker | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2011-12-01 |
| Street Address |
30410 HIGHWAY 200 |
| City | PONDERAY |
| State | ID |
| Zip Code | 83852-9601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780646661 | Thomas G Fletcher | Family Medicine | 30410 Highway 200, Ponderay, ID 83852-9601 | 2006-04-05 |
| 1285293167 | Daniel Grant Freeman Jefferies | Dentist | 30410 Highway 200, Ponderay, ID 83852-9601 | 2019-06-13 |
| 1295271534 | Megan Delaney-johnson | Social Worker | 30410 Highway 200, Ponderay, ID 83852-9601 | 2017-01-10 |
| 1174914121 | Bradley Owens | Pharmacist | 30410 Highway 200, Ponderay, ID 83852-9601 | 2015-02-12 |
| 1316338486 | Spokane Vamc | Clinic/Center | 30410 Highway 200, Ponderay, ID 83852-9601 | 2015-02-11 |
| 1720493638 | Jade Dardine | Family Medicine | 30410 Highway 200, Ponderay, ID 83852-9601 | 2014-06-30 |
| 1518309095 | Silas T Thompson | Social Worker | 30410 Highway 200, Ponderay, ID 83852-9601 | 2013-07-24 |
| 1972948420 | Peter John Kelterborn | Internal Medicine | 30410 Highway 200, Ponderay, ID 83852-9601 | 2013-05-09 |
| 1730423815 | Amber C Moir-brow | Counselor | 30410 Highway 200, Ponderay, ID 83852-9601 | 2012-11-15 |
| 1871853739 | Nicholas G Miller | Dentist | 30410 Highway 200, Ponderay, ID 83852-9601 | 2012-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346606647 | Vern Stairs | Pharmacist | 476999 Us-95, Walmart Supercenter, Ponderay, ID 83852 | 2016-01-04 |
| 1083809727 | Michael R Dibenedetto Md Pllc | Orthopaedic Surgery | 30544 Hwy 200, Ste 102, Ponderay, ID 83852 | 2007-09-06 |
| 1811009988 | David Paul Cox | Dentist | 477542 Hwy 95 N, Ponderay, ID 83852 | 2006-08-31 |
| 1861774291 | Michael David Schicker | Orthopaedic Surgery | 30544 Highway 200 Ste 102, Ponderay, ID 83852 | 2011-09-12 |
| 1750410825 | Glacier Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 205 Vermeer Dr, Suite C, Ponderay, ID 83852-1660 | 2007-03-05 |
| 1083949531 | Mario E Roxas | Naturopath | 476864 Highway 95, Suite #3, Ponderay, ID 83852-5000 | 2009-10-15 |
| 1942716246 | Darwin L Hurst | Family Medicine | 30544 Highway 200 Ste 101, Ponderay, ID 83852-5005 | 2017-12-21 |
| 1902036734 | Innovative Anesthesia | Nurse Anesthetist, Certified Registered | 30544 Highway 200 Ste 201, Pend Oreille Surgery Center, Ponderay, ID 83852-5005 | 2009-07-14 |
| 1255597811 | Travis Lee Taylor | Nurse Practitioner | 30544 Highway 200 Ste 102, Ponderay, ID 83852-5005 | 2008-08-04 |
| 1982741195 | Ryan Leisy | Chiropractor | 30544 Highway 200 Ste 330, Ponderay, ID 83852-5005 | 2007-01-30 |
| Find all providers in zip 83852 | ||||
| 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 |
|---|---|---|---|---|
| 1770598559 | Kathy Gavin | Nurse Practitioner | 30410 Highway 200, Ponderay, ID 83852-9601 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039988 | Seth Thomas Six | Nurse Practitioner | 803 Mill Rd, Lewiston, ID 83501-0745 | 2020-09-25 |
| 1255947255 | Brandon Smith | Nurse Practitioner | 5067 Camden St, Chubbuck, ID 83202-3501 | 2020-09-16 |
| 1407469166 | Mmg LLC | Nurse Practitioner | 80 Cottonwood Ct Ste 150, Eagle, ID 83616-6577 | 2020-08-24 |
| 1588288336 | Katina Ross | Nurse Practitioner | 11695 W Baserri Dr, Boise, ID 83709-1307 | 2020-06-07 |
| 1164043162 | Slavik Osipchuk | Nurse Practitioner | 2329 W Root Creek St, Meridian, ID 83646-4678 | 2020-04-30 |
| 1538708862 | Kay Dawn Martens | Nurse Practitioner | 334 E 200 S, Burley, ID 83318-5433 | 2020-01-03 |
| 1760025639 | Kimberly Watson | Nurse Practitioner | 3536 W Moon Lake St, Meridian, ID 83646-8304 | 2019-10-23 |
| 1932741212 | Kylie B Di Lulo | Nurse Practitioner | 1309 E Fall Ct, Boise, ID 83706-5076 | 2019-10-08 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1649824277 | Bryana Michel Hinck | Nurse Practitioner | 150 W Broderick Dr, Meridian, ID 83646-0009 | 2019-07-31 |
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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.