KATHLEEN J DUFFY (NPI# 1154301141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154301141 |
Entity Type | Individual |
Full Name | KATHLEEN J DUFFY |
Credential | PA-C |
Practice Address |
1520 W State St Ste 100 Boise ID 83702-4038 |
Mailing Address |
190 E Bannock St Boise ID 83712-6241 |
Practice Telephone | 2089477700 |
Practice Fax Number | 2089477701 |
Mailing Telephone | 2089477700 |
Mailing Fax Number | 2089477701 |
Enumeration Date | 2006-01-18 |
Last Update Date | 2011-02-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA452 | ID | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417587742 | Kathleen Kealy Duffy | Acupuncturist | 1209 Chicon St, Austin, TX 78702-2113 | 2020-01-26 |
1962529800 | Kathleen A Duffy | Physician Assistant | 1211 Nw 15th St, Boca Raton, FL 33486-1204 | 2007-03-24 |
1104477645 | Kathleen Mary Duffy | Social Worker | 8220 Castor Ave, Philadelphia, PA 19152-2729 | 2019-09-26 |
1619452521 | Kathleen J Duffy | Social Worker | 3395 Plymouth Rd, Minnetonka, MN 55305-3765 | 2018-09-26 |
1285031864 | Kathleen Duffy | Speech-Language Pathologist | 4 S Main St, Fall River, MA 02721-5327 | 2014-11-26 |
1659771897 | Kathleen Duffy | Dietitian, Registered | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2014-08-25 |
1851708291 | Kathleen M Duffy | Physician Assistant | 202 10th St Se Ste 270, Cedar Rapids, IA 52403-2420 | 2014-07-17 |
1326283813 | Kathleen Mary Duffy | Counselor | 36500 Aurora Dr, Summit, WI 53066-4899 | 2008-12-11 |
Street Address |
1520 W STATE ST STE 100 |
City | BOISE |
State | ID |
Zip Code | 83702-4038 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053311084 | Jessica Anne Briggs | Physician Assistant | 1520 W State St, Suite 100, Boise, ID 83702-4085 | 2005-08-01 |
1124477716 | Collin Reid | Physical Therapist | 1520 W State St, Suite 210, Boise, ID 83702-4085 | 2016-06-06 |
1285000380 | Amelia Doty-jones | Social Worker | 1520 W State St, Boise, ID 83702-4085 | 2015-08-12 |
1508245010 | Madeline Louise Lima | Physician Assistant | 1520 W State St, Boise, ID 83702-4085 | 2015-05-29 |
1316346059 | Michelle P Doran | Nurse Practitioner | 1520 W State St, Ste 100, Boise, ID 83702-4085 | 2014-08-19 |
1114363199 | Catherine Elizabeth Duke | Physical Therapist | 1520 W State St, Ste. 210, Boise, ID 83702-4085 | 2013-05-16 |
1134416647 | Tara S Whitaker | Family Medicine | 1520 W State St, Suite 100, Boise, ID 83702-4085 | 2011-07-05 |
1053624759 | St Lukes Regional Medical Center | Internal Medicine | 1520 W State St, Ste 100, Boise, ID 83702-4085 | 2010-07-22 |
1871769307 | Nicole Barnes | Physical Therapist | 1520 W State St, Ste 210, Boise, ID 83702-4085 | 2008-05-05 |
1467621383 | Nutritional Medicine of Idaho | Nutritionist | 1520 W State St, Suite 220, Boise, ID 83702-4085 | 2008-02-25 |
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 | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821695792 | Chelsea Dylan Tennent | Physician Assistant | 1666 E Gentlewind St, Boise, ID 83706-5914 | 2020-10-05 |
1871114553 | Samantha Tess Goodrich | Physician Assistant | 721 E Lenz St, Boise, ID 83712-7846 | 2020-05-04 |
1689131005 | Aftin Jade Martens | Physician Assistant | 303 N Allumbaugh St, Boise, ID 83704-9208 | 2019-02-21 |
1215418140 | Michael Edward Molnar | Physician Assistant | 2012 S Longmont Ave, Boise, ID 83706-4235 | 2018-08-28 |
1578059143 | Mckenzie Hart | Physician Assistant | 4334 S Aleut Way, Boise, ID 83709-6033 | 2018-07-07 |
1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
1073040242 | Nicole Ankenbrandt | Physician Assistant | 3151 S Terra Dr, Boise, ID 83709-3831 | 2017-05-17 |
1346792033 | Samantha Rae Lange | Physician Assistant | 1072 N Liberty St Ste 203, Boise, ID 83704 | 2016-10-27 |
1174070098 | Alexandra W Clapp | Physician Assistant | 6140 West Curtisian Avenue Suite 200, Boise, ID 83704 | 2016-09-08 |
1376914838 | Morgan Grace Roskelley | Physician Assistant | 703 S. Americana Blvd, Ste 120, Boise, ID 83702 | 2015-10-09 |
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.