GORDON BRUCE CUTHBERT (NPI# 1275010233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275010233 |
| Entity Type | Individual |
| Full Name | GORDON BRUCE CUTHBERT |
| Practice Address |
2201 Ironwood Pl Coeur D Alene ID 83814-2670 |
| Mailing Address |
2205 Ironwood Pl Ste B Coeur D Alene ID 83814-2487 |
| Practice Telephone | 2087694222 |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2205 Ironwood Pl Ste B, Coeur D Alene, ID 838142487 | 2082920358 |
| Street Address |
2201 IRONWOOD PL |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336182112 | Tracey L Sutton | Social Worker | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2006-06-13 |
| 1790252526 | Amanda R Bailey | Rehabilitation Practitioner | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-10-30 |
| 1811463771 | Kristian Leigh Carson | Rehabilitation Practitioner | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-10-18 |
| 1902372857 | Luis Esteban Chavolla | Rehabilitation Practitioner | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-10-18 |
| 1184103335 | Shauna Rae Herman | Rehabilitation Practitioner | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-08-08 |
| 1073091864 | Sally Jo Fischer | Community Health Worker | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-08-02 |
| 1174000566 | Timothy Wayne Cork | Specialist | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-07-27 |
| 1679059208 | Tina Marie Rozniewski | Peer Specialist | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-07-17 |
| 1962988451 | Cassey Coleman | Peer Specialist | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-07-17 |
| 1073099719 | Erica Marie Blessing I | Social Worker | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962033399 | Lookout Behavioral Health LLC | Peer Specialist | 7905 N Meadowlark Way Ste A, Coeur D Alene, ID 83815-5041 | 2020-02-04 |
| 1164063285 | Olivia G Smith | Peer Specialist | 2201 Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2019-09-30 |
| 1477106037 | Brittni Hudlet | Peer Specialist | 2201 Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2019-07-22 |
| 1699332437 | Tiffany Stephenson | Peer Specialist | 2201 Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2019-05-28 |
| 1679059208 | Tina Marie Rozniewski | Peer Specialist | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-07-17 |
| 1962988451 | Cassey Coleman | Peer Specialist | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-07-17 |
| 1598116659 | Mental Wellness Clinic of Coeur D Alene | Peer Specialist | 1105 W Ironwood Dr, Coeur D Alene, ID 83814-2613 | 2016-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779523 | Tracie Lyn Hansen | Peer Specialist | 560 Fairway Dr, Pocatello, ID 83201-2012 | 2020-10-29 |
| 1306481817 | Ability Health and Rehabilitation LLC | Peer Specialist | 10101 W Overland Rd Ste 110, Boise, ID 83709-1429 | 2019-11-08 |
| 1609426923 | Amie Hughes | Peer Specialist | 4737 S Afton Pl Ste A, Chubbuck, ID 83202-2317 | 2019-09-18 |
| 1184113482 | Kolleen Marie Wynn-gallipeau | Peer Specialist | 444 Hospital Way Ste 447, Pocatello, ID 83201-2744 | 2018-05-02 |
| 1073127791 | Calm Waters Counseling Pllc | Peer Specialist | 10108 W Overland Rd Ste A, Boise, ID 83709-1428 | 2020-09-01 |
| 1790307890 | Jx2 LLC | Peer Specialist | 8950 W Emerald St Ste 178, Boise, ID 83704-8296 | 2020-05-12 |
| 1063034437 | Inroads, Inc | Peer Specialist | 3288 E Pine Ave, Meridian, ID 83642-5922 | 2020-05-08 |
| 1356962112 | Aaa American Healthcare LLC | Peer Specialist | 1301 E 17th St, Idaho Falls, ID 83404-6273 | 2020-05-04 |
| 1346878691 | Aspen Ministries Syringa Wellness | Peer Specialist | 1609 S Kimball Ave Ste 200, Caldwell, ID 83605-5196 | 2020-03-31 |
| 1356981419 | Lake City Counseling Center | Peer Specialist | 9705 N Shaw St, Hayden, ID 83835-9716 | 2020-01-07 |
| Find all providers with the same taxonomy | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
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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.