MS. VICTORIA ANN MERRELL (NPI# 1073797395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073797395 |
| Entity Type | Individual |
| Full Name | MS. VICTORIA ANN MERRELL |
| Credential | P.A. |
| Practice Address |
600 Robbins Rd Suite 100 Boise ID 83702-4539 |
| Mailing Address |
600 N Robbins Rd Suite 401 Boise ID 83702 |
| Practice Telephone | 2083830201 |
| Practice Fax Number | 2084894300 |
| Mailing Telephone | 2083830201 |
| Mailing Fax Number | 2084894300 |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2007-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-716 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
600 ROBBINS RD SUITE 100 |
| City | BOISE |
| State | ID |
| Zip Code | 83702-4539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316943343 | Marshall Gardner | Physician Assistant | 600 Robbins Rd, Ste 300, Boise, ID 83702-4565 | 2005-06-23 |
| 1750527701 | Crystal N Arave | Speech-Language Pathologist | 600 Robbins Rd, Ste 101, Boise, ID 83702-4539 | 2008-12-22 |
| 1336399021 | Frances Marie Lovely | Licensed Practical Nurse | 600 Robbins Rd, Boise, ID 83702-4539 | 2008-09-30 |
| 1053598458 | Virginia Gibson | Specialist/Technologist, Other | 600 Robbins Rd, Suite 400, Boise, ID 83702-4539 | 2008-01-28 |
| 1487850798 | Janis Rae Harrold | Occupational Therapist | 600 Robbins Rd, Boise, ID 83702-4539 | 2007-06-23 |
| 1457552358 | Kathryn Mcfarland Harding | Speech-Language Pathologist | 600 Robbins Rd, Boise, ID 83702-4539 | 2007-05-29 |
| 1922218502 | Wendy Lee Rudy | Speech-Language Pathologist | 600 Robbins Rd, Boise, ID 83702-4539 | 2007-05-23 |
| 1871702944 | Melissa J Honsinger | Speech-Language Pathologist | 600 Robbins Rd, Boise, ID 83702-4539 | 2007-05-22 |
| 1801006820 | Maren Elizabeth Hollister | Speech-Language Pathologist | 600 Robbins Rd, Boise, ID 83702-4539 | 2007-05-22 |
| 1952511974 | Megan Christine Kohnke | Specialist/Technologist | 600 Robbins Rd, Boise, ID 83702-4539 | 2007-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073915963 | Jessica Bishop | Physician Assistant | 1499 W Hays St, Boise, ID 83702-5029 | 2014-09-23 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
| 1710231238 | Alaina A Mccoy | Physician Assistant | 100 E. Idaho St., Suite 400, Boise, ID 83712 | 2012-11-06 |
| 1447534821 | Addie Barnes | Physician Assistant | 900 N Liberty, Ste 101, Boise, ID 83704 | 2011-10-04 |
| 1134358104 | Eric Culbertson | Physician Assistant | 633n 4th St, Boise, ID 83702-4510 | 2009-07-10 |
| 1790923621 | Christie Dudash Flynn | Physician Assistant | 12273 W Mcmillian Road, Boise, ID 83713 | 2009-01-30 |
| 1598921595 | Karen B. Barrett | Physician Assistant | 6000 W. Overland Road, Firstline Medical, Boise, ID 83704 | 2008-07-30 |
| 1972672111 | Kara Mcgee | Physician Assistant | 727 E Riverpark Ln Ste 200, Boise, ID 83706-4097 | 2006-11-06 |
| 1265464036 | Sharene E Watsen | Physician Assistant | 403 South 11th St, Ste 100, Boise, ID 83702-6906 | 2006-07-06 |
| 1508802091 | Heidi R Munro | Physician Assistant | 8000 S Federal Way, Boise, ID 83716-9632 | 2006-06-22 |
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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.