MRS. ANDREA BARBERA ANZALONE (NPI# 1255408894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255408894 |
| Entity Type | Individual |
| Full Name | MRS. ANDREA BARBERA ANZALONE |
| Credential | WHCNPC |
| Practice Address |
13307 Miami Ln Caldwell ID 83607-4701 |
| Practice Telephone | 2084557000 |
| Practice Fax Number | 2084557722 |
| Mailing Telephone | 2084557000 |
| Mailing Fax Number | 2084557722 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2014-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
4554318796 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1255408894 | 05 |
| Street Address |
13307 MIAMI LN |
| City | CALDWELL |
| State | ID |
| Zip Code | 83607-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598748337 | Southwest District Health | Registered Nurse | 13307 Miami Ln, Caldwell, ID 83607-4701 | 2005-11-25 |
| 1568923084 | Ligia Maria Powell | Community Health Worker | 13307 Miami Ln, Caldwell, ID 83607-4701 | 2019-03-27 |
| 1831697051 | Patricia Ramirez | Health Educator | 13307 Miami Ln, Caldwell, ID 83607-4701 | 2018-01-23 |
| 1205241650 | Mandy Kay Renak | Nurse Practitioner | 13307 Miami Ln, Caldwell, ID 83607-4701 | 2014-06-24 |
| 1104245091 | Mary Schwartz | Dietitian, Registered | 13307 Miami Ln, Caldwell, ID 83607-4701 | 2014-04-08 |
| 1295150738 | Marisa Erickson | Dietitian, Registered | 13307 Miami Ln, Caldwell, ID 83607-4701 | 2014-02-20 |
| 1306188818 | Emily Jane Geary | Dietitian, Registered | 13307 Miami Ln, Caldwell, ID 83607-4701 | 2013-03-22 |
| 1659610202 | Aria Alma Croly | Dietitian, Registered | 13307 Miami Ln, Caldwell, ID 83607-4701 | 2013-02-01 |
| 1407194152 | Cheryl L Jorgenson | Dietitian, Registered | 13307 Miami Ln, Caldwell, ID 83607-4701 | 2013-01-30 |
| 1760729206 | Southwest District Health | Public Health or Welfare | 13307 Miami Ln, Caldwell, ID 83607-4701 | 2013-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609106012 | Cordell Denton Nebeker | Dentist | 4111 Clocktower Ave., Caldwell, ID 83607 | 2010-01-07 |
| 1265677587 | Cory Shane Lindstrom | Chiropractor | 5216 E. Cleveland Blvd, Ste G, Caldwell, ID 83607 | 2008-12-16 |
| 1154533727 | Reality Based Services | Case Management | 24151 El Paso Rd, Caldwell, ID 83607 | 2007-05-04 |
| 1407998271 | Patrick L Waite | Dentist | 4101 Clock Tower Ave, Caldwell, ID 83607 | 2007-02-12 |
| 1104276377 | Jae's Transportaion LLC | Non-emergency Medical Transport (VAN) | 14310 Tara St, Caldwell, ID 83607-1431 | 2016-06-17 |
| 1417224460 | Rebecca Anne Tormey | Physical Therapist | 1202 Talon Ct, Caldwell, ID 83607-1579 | 2011-11-18 |
| 1174677603 | Vallivue School District #139 | Local Education Agency (LEA) | 5207 S Montana Ave, Caldwell, ID 83607-1583 | 2007-01-22 |
| 1679026447 | Kimberly Drewrey, Aprn, Np-c | Point of Service | 5210 Cleveland Blvd, Suite 140 #344, Caldwell, ID 83607-1796 | 2016-07-28 |
| 1619007903 | Mandy R Redmond | Specialist/Technologist | 1407 E Homedale Rd, Caldwell, ID 83607-1848 | 2007-03-06 |
| 1326263179 | Kira Ann Skroh | Specialist/Technologist | 1407 E Homedale Rd, Caldwell, ID 83607-1848 | 2007-04-16 |
| Find all providers in zip 83607 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952315087 | Barbara F Zeller | Nurse Practitioner | 13307 Miami Ln, Caldwell, ID 83607-4701 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356678106 | Clea K. Mefford | Nurse Practitioner | 1408 Pomerelle Ave # H, Burley, ID 83318-2064 | 2009-11-13 |
| 1477714285 | Kara Kelly Hill | Nurse Practitioner | 111 Main St Ste 100, Boise, ID 83702-7307 | 2008-06-24 |
| 1265617849 | Selkirk Family Medicine & Womens Health Pllc | Nurse Practitioner | 1215 Michigan St Ste C, Sandpoint, ID 83864-5014 | 2008-01-02 |
| 1538238506 | Pamela Jan Tilaro | Nurse Practitioner | 8500 N. Atlas Rd, Hayden, ID 83835-8332 | 2006-11-06 |
| 1922197946 | Cynthia W Dalsing | Nurse Practitioner | 1215 Michigan St, Suite C, Sandpoint, ID 83864-5014 | 2006-10-11 |
| 1144325572 | Annie C Fife | Nurse Practitioner | 500 W. Fort St, Boise, ID 83702 | 2006-09-13 |
| 1679688030 | Healing Arts Women's Clinic, Pa | Nurse Practitioner | 222 W Iowa Ave Ste 225, Nampa, ID 83686-6815 | 2006-08-19 |
| 1508886425 | Mary Gerard Battaglia | Nurse Practitioner | 1112 Ironwood Dr, Coeur D Alene, ID 83814 | 2006-07-21 |
| 1013936541 | Susan P Stutzman | Nurse Practitioner | 215 10th St, Lewiston, ID 83501-1912 | 2006-07-18 |
| 1871560995 | Mary R Fiedler | Nurse Practitioner | 1020 Michigan St, Sandpoint, ID 83864-1788 | 2006-03-07 |
| 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.