JULIA CLAIRE BRODIE (NPI# 1265045199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265045199 |
| Entity Type | Individual |
| Full Name | JULIA CLAIRE BRODIE |
| Credential | PA-C |
| Practice Address |
2352 N Apple Ln Pocatello ID 83204-7231 |
| Practice Telephone | 2086044622 |
| Mailing Telephone | 2086044622 |
| Enumeration Date | 2020-08-29 |
| Last Update Date | 2020-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699312678 | Julia Renee-dobler Brodie | Counselor | 2507 Christie Dr, Lake Oswego, OR 97034 | 2019-12-09 |
| Street Address |
2352 N APPLE LN |
| City | POCATELLO |
| State | ID |
| Zip Code | 83204-7231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568974541 | Daniel Graham Rasmussen | Social Worker | 335 N. Main, Pocatello, ID 83204 | 2017-10-30 |
| 1801311246 | Thomas Henrie | Specialist/Technologist | 3960 Stockman Rd., Pocatello, ID 83204 | 2017-08-07 |
| 1750803110 | David Tim Williams | Counselor | 224 S. Arthur Suite 2, Pocatello, ID 83204 | 2017-07-07 |
| 1023441185 | Insight Occupational Therapy, LLC | Occupational Therapist | 158 N Main St., Pocatello, ID 83204 | 2013-08-13 |
| 1679816912 | A New Hope, LLC | Day Training, Developmentally Disabled Services | 19b Mountain Dr, Pocatello, ID 83204 | 2013-04-05 |
| 1790032431 | Wynnona Sarah Warren | Pharmacist | 911 North Main Street, Pocatello, ID 83204 | 2012-08-13 |
| 1902110380 | Belmont Management, Inc. | Intermediate Care Facility, Mentally Retarded | 6150 S. 5th Ave, Pocatello, ID 83204 | 2010-07-28 |
| 1104066539 | Rachel Ann Seibold | Speech-Language Pathologist | 1254 Swisher Rd, Pocatello, ID 83204 | 2009-02-25 |
| 1710163803 | Allen Bennett Martin | Clinic/Center | 540 South Garfield, Pocatello, ID 83204 | 2008-01-18 |
| 1174711758 | Rsm Pa Pllc | Physician Assistant | 1595 Bannock Hwy, Pocatello, ID 83204 | 2007-10-09 |
| Find all providers in zip 83204 | ||||
| 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 |
|---|---|---|---|---|
| 1326651035 | Jenna Marie Castillo | Physician Assistant | 150 Taft Ave, Pocatello, ID 83201-5140 | 2020-08-24 |
| 1477021020 | Todd Cranor | Physician Assistant | 1950 E Clark St Ste 110, Pocatello, ID 83201-3315 | 2018-11-12 |
| 1700391620 | Kaitlin L Cox | Physician Assistant | 777 Hospital Way Ste 300, Pocatello, ID 83201-5176 | 2017-12-14 |
| 1003088782 | Community Care, Pllc | Physician Assistant | 1595 Yellowstone Ave, Pocatello, ID 83201 | 2008-04-02 |
| 1730372756 | Lisa A Hansen | Physician Assistant | 444 Hospital Way Ste 777, Pocatello, ID 83201-2744 | 2007-08-22 |
| 1518934181 | Paul Bieniasz | Physician Assistant | 845 W Center St Ste 200, Pocatello, ID 83204-4237 | 2006-03-02 |
| 1851385538 | Matthew L Mckinlay | Physician Assistant | 2240 E Center St, Pocatello, ID 83201 | 2005-09-08 |
| 1952917353 | Wende Christine Leavitt | Physician Assistant | 444 Hospital Way Ste 477, Pocatello, ID 83201-2744 | 2020-09-21 |
| 1801401344 | Sunny Blue Alene Nelson | Physician Assistant | 777 Hospital Way, Pocatello, ID 83201-5175 | 2020-09-11 |
| 1790334464 | Marley Rae Nielson | Physician Assistant | 333 N 18th Ave Ste B3, Pocatello, ID 83201-3358 | 2019-09-05 |
| Find all providers in POCATELLO | ||||
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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.