KERRI RUDDELL (NPI# 1174183578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174183578 |
| Entity Type | Individual |
| Full Name | KERRI RUDDELL |
| Credential | NP |
| Practice Address |
16760 Id-41 Rathdrum ID 83858 |
| Mailing Address |
3665 Evergreen Dr Coeur D Alene ID 83815-9018 |
| Practice Telephone | 2086205200 |
| Mailing Telephone | 2087905191 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
61858 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
16760 ID-41 |
| City | RATHDRUM |
| State | ID |
| Zip Code | 83858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811555758 | Daniel Whitesitt | Dentist | 14596 Id-41, Rathdrum, ID 83858 | 2019-06-05 |
| 1831437839 | Patricia M Salois | Speech-Language Pathologist | 1564 Washington Street, Rathdrum, ID 83858 | 2013-01-25 |
| 1063554673 | Lakeland Joint School Disrict #272 | Local Education Agency (LEA) | 1564 Washington Ave, Rathdrum, ID 83858 | 2007-02-12 |
| 1275695140 | James M Mcnamara | Dentist | 13997 W Hwy 53, Rathdrum, ID 83858 | 2006-12-15 |
| 1568573962 | Chad Stephen Devore | Dentist | 14596 Hwy 41, Suite A, Rathdrum, ID 83858 | 2006-08-31 |
| 1811982994 | Frances L. White | Contractor | 14528 N Wight St, Rathdrum, ID 83858 | 2005-09-15 |
| 1578061883 | Ann N Moffett | Nurse Practitioner | 858 Commerce Dr., Smelterville, ID 83858 | 2018-02-01 |
| 1063055069 | Karin Sue Duncan | Naturopath | 16726 N Meadowview Ln, Rathdrum, ID 83858-0017 | 2019-10-22 |
| 1770768624 | Gabrielle Durbin | Private Vehicle | W 7164 Diagonal, Rathdrum, ID 83858-0283 | 2008-01-09 |
| 1003840034 | Lorene H Lindley | Family Medicine | 13859 N Reflection Rd, Rathdrum, ID 83858-6038 | 2006-07-10 |
| Find all providers in zip 83858 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447716659 | Teri Renee Rouse | Nurse Practitioner | 14775 N Kimo Ct Ste B, Rathdrum, ID 83858-8762 | 2019-02-12 |
| 1104896075 | Regina Miller Prindle | Nurse Practitioner | 16760 N Highway 41, Rathdrum, ID 83858-8715 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427152 | Christopher Alan Anthony Nicholas | Nurse Practitioner | 2889 N Chancery Pl, Meridian, ID 83646-7407 | 2020-11-05 |
| 1710588108 | Lauren Proteau | Nurse Practitioner | 310 S Acer Loop, Post Falls, ID 83854-8809 | 2020-11-03 |
| 1568061398 | Nicolette A Eberline | Nurse Practitioner | 4228 W Guard St Bldg 665, Boise, ID 83705-8049 | 2020-10-22 |
| 1023617347 | Kristina Oliver | Nurse Practitioner | 980 W Ironwood Dr Ste 302, Coeur D Alene, ID 83814-2668 | 2020-10-19 |
| 1730787482 | John Dustin Pena | Nurse Practitioner | 102 Courthouse Dr Ste F, Salmon, ID 83467-3905 | 2020-10-14 |
| 1982202743 | Jayson Paul Smith | Nurse Practitioner | 1545 East Leighfield Dr., Meridian, ID 83646 | 2020-10-14 |
| 1659979516 | Jennifer Anne Gardner | Nurse Practitioner | 1385 Park View Dr Ste 101, Twin Falls, ID 83301-4390 | 2020-10-13 |
| 1982210795 | Samuel Hally | Nurse Practitioner | 1346 Cimarron Ct, Middleton, ID 83644-5894 | 2020-09-17 |
| 1013522275 | Beau Lee | Nurse Practitioner | 2900 N Burton St, Boise, ID 83704-5314 | 2020-09-14 |
| 1649885534 | Auston Whitmer | Nurse Practitioner | 2203 E Ringneck St, Meridian, ID 83646-7410 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
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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.