STEPHANIE WORDEN (NPI# 1073887584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073887584 |
| Entity Type | Individual |
| Full Name | STEPHANIE WORDEN |
| Practice Address |
4924 Overland Rd Boise ID 83705-2821 |
| Mailing Address |
2748 S Perrault Way Boise ID 83716 |
| Practice Telephone | 2083361728 |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 8876 | AZ | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | P6532 | ID | Pharmacy Service Providers |
| Street Address |
4924 OVERLAND RD |
| City | BOISE |
| State | ID |
| Zip Code | 83705-2821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174807457 | Valerie Murray | Pharmacist | 4924 Overland Rd, Boise, ID 83705-2821 | 2011-10-04 |
| 1174894216 | Lori Ann Hockenberry | Pharmacist | 4924 Overland Rd, Boise, ID 83705-2821 | 2012-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938779 | Halo Health Services LLC | Community/Behavioral Health | 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 | 2020-06-29 |
| 1598265860 | Felica Jo Duce | Counselor | 921 S Orchard St Ste 103, Boise, ID 83705 | 2018-02-13 |
| 1215364278 | Erica Zelickowski | Pharmacist | 1653 S Vista Avenue, Boise, ID 83705 | 2013-10-04 |
| 1952655490 | Aida Dizdar-barac | Social Worker | 2273 S. Vista Avenue, Suite 190, Boise, ID 83705 | 2012-11-06 |
| 1033461033 | Julie Marie Meek | Social Worker | 3324 W Elder St, Boise, ID 83705 | 2012-10-15 |
| 1568761112 | Berkeley Fraser | Pharmacist | 3527 S Federal Way Suite 104, Boise, ID 83705 | 2011-03-22 |
| 1922311042 | Amber Vania | Family Medicine | 4971 W. Overland Road, Boise, ID 83705 | 2010-07-18 |
| 1295056836 | Cherise M Wetzel | Social Worker | 1625 S Eagleson Rd, B1, Boise, ID 83705 | 2010-06-17 |
| 1558685305 | Rae Ann Norell | Social Worker | 2273 S. Vista Ave, #190 Treasure Valley Community Counseling Services, Boise, ID 83705 | 2010-03-23 |
| 1164679932 | Oreana Harless | Social Worker | 2550 South Vista Ave, Boise, ID 83705 | 2008-08-25 |
| Find all providers in zip 83705 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890094 | Emilie Heun | Pharmacist | 10700 W Ustick Rd, Boise, ID 83713-5103 | 2020-08-02 |
| 1861044810 | Lauren Devine | Pharmacist | 2887 S Abbs Ln, Boise, ID 83705-4197 | 2019-07-10 |
| 1235799982 | Richard Lynn Howard | Pharmacist | 10709 W Treeline Ct, Boise, ID 83713-1861 | 2019-06-15 |
| 1679034656 | Niloufar Niknam | Pharmacist | 945 N Maple Grove Rd Apt 105, Boise, ID 83704-4292 | 2019-03-30 |
| 1982180220 | Serena Raquel Hand | Pharmacist | 500 E Baybrook Ct, Boise, ID 83706-3916 | 2018-07-18 |
| 1831638725 | Miren Davis | Pharmacist | 509 E Parkcenter Blvd, Apt 210, Boise, ID 83706-6684 | 2017-02-13 |
| 1447708052 | Dennis W Nelson | Pharmacist | 999 N Curtis Rd Ste 102, Boise, ID 83706-1331 | 2016-09-13 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1104277193 | Megan Kathleen Turner | Pharmacist | 500 W Fort St (119), Boise, ID 83702-4501 | 2016-06-30 |
| 1538519749 | Kristofer Kelly- James Lark | Pharmacist | 4709 W Kendall St, Boise, ID 83706-2224 | 2016-06-18 |
| 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.