LITTLE ANGELS (NPI# 1336408632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336408632 |
| Entity Type | Organization |
| Organization Name | LITTLE ANGELS |
| Other Organization Name | N/A |
| Practice Address |
1680 Woodruff Park Idaho Falls ID 83401-3330 |
| Practice Telephone | 2083130711 |
| Mailing Telephone | 2083130711 |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2013-02-01 |
| Authorized Official Name | MRS. LISA RENEA CRUZ (OWNER) |
| Authorized Official Telephone | 2083130711 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
M-9188 | ID | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | PA-334 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| N/A | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235475849 | Little Angels | Clinic/Center | 1680 Woodruff Park, Idaho Falls, ID 83401-3330 | 2012-12-31 |
| 1942546510 | Little Angels | Clinic/Center | 1420 E 17th St, Suite C, Idaho Falls, ID 83404-6283 | 2012-12-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | LITTLE ANGELS 126, LLC | 82-40 Austin Street, Suite 4h, Kew Gardens, New York 11415 |
| New York State Corporations | LITTLE ANGELS ABC 3, CORP. | 10115 Lefferts Blvd, S Richmond Hill, Ny 11419 |
| New York State Corporations | LITTLE ANGELS ABC DAYCARE CORP. | 30 Union St Ph, Haverstraw, Ny 10927 |
| New York State Corporations | LITTLE ANGELS ABC, CORP. | 107-16 112th St, South Richmond Hill, Ny 11419 |
| System for Award Management (SAM) Entities | LITTLE ANGELS ACADEMY | 3078 L St, San Diego, CA 92102-4138 |
| Connecticut Business Registrations | LITTLE ANGELS ACADEMY LLC | 20 Beech Drive, New London, CT 06320 |
| Iowa Business Entities | LITTLE ANGELS BARBQ, INC. | 101 Fluesche, Westphalia, IA 51578 |
| Massachusetts Corporations | LITTLE ANGELS CARE GIVER LLC | 5 Webber St., Lowell, MA 01851 |
| New York State Corporations | LITTLE ANGELS CENTER, INC. | 235 Blue Point Avenue, Blue Point, New York 11715 |
| System for Award Management (SAM) Entities | LITTLE ANGELS CHILD CARE | 8914 S Midvalley Dr, West Jordan, UT 84088-9024 |
| Street Address |
1680 WOODRUFF PARK |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83401-3330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235475849 | Little Angels | Clinic/Center | 1680 Woodruff Park, Idaho Falls, ID 83401-3330 | 2012-12-31 |
| 1437495041 | Little Angels LLC | Psychiatry & Neurology | 1680 Woodruff Park, Idaho Falls, ID 83401-3330 | 2012-12-31 |
| 1043556608 | Latino Stand Up Idaho LLC | Clinic/Center | 1680 Woodruff Park, Idaho Falls, ID 83401-3330 | 2012-12-28 |
| 1649539495 | Latino Stand Up Idaho LLC | Case Management | 1680 Woodruff Park, Suite A, Idaho Falls, ID 83401-3330 | 2012-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454796 | Natalie M Theriault | Acupuncturist | 864 S Holmes, Idaho Falls, ID 83401 | 2020-10-09 |
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1851859110 | Rebecca Chidester | Counselor | 771 Parkwood St., Idaho Falls, ID 83401 | 2019-03-06 |
| 1467924985 | Benchmark Home Health | Registered Nurse | 2098 Gladys Dr., Idaho Falls, ID 83401 | 2018-12-21 |
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 1992227367 | Brenda Emery | Rehabilitation Practitioner | 540 3rd Street, Idaho Falls, ID 83401 | 2017-07-07 |
| 1689068454 | Addiction Treatment Centers of Idaho | Community/Behavioral Health | 211 S. Woodruff Avenue, Idaho Falls, ID 83401 | 2015-03-19 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1487994430 | Sterling Physician Group Pllc | Clinic/Center | 740 S. Woodruff Ave, Idaho Falls, ID 83401 | 2013-02-27 |
| 1952638025 | Allstar Counseling Inc. | Case Management | 550 2nd Street, Suite 269, Idaho Falls, ID 83401 | 2009-11-11 |
| Find all providers in zip 83401 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194833228 | Ronald M. Zohner | Psychiatry & Neurology | 1842 1st St, Idaho Falls, ID 83401-4415 | 2006-08-28 |
| 1346216975 | Susan Lynn Bunnell | Psychiatry & Neurology | 2280 E 25th Street, Idaho Falls, ID 83404 | 2006-02-24 |
| 1437495041 | Little Angels LLC | Psychiatry & Neurology | 1680 Woodruff Park, Idaho Falls, ID 83401-3330 | 2012-12-31 |
| 1831413681 | Matthew F Larsen | Psychiatry & Neurology | 2280 E 25th St, Idaho Falls, ID 83404-7542 | 2010-03-23 |
| 1770728040 | Craig J Denny Md Prof Corp | Psychiatry & Neurology | 2280 E 25th St, Idaho Falls, ID 83404-7542 | 2008-12-15 |
| 1992902530 | Family Care Center | Psychiatry & Neurology | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407887623 | Kristina J Harrington | Psychiatry & Neurology | 5985 W State St, Boise, ID 83703-3039 | 2006-07-05 |
| 1174031736 | Hamilton Warren-sutton, Md, Pllc | Psychiatry & Neurology | 413 N Allumbaugh St Ste 101, Boise, ID 83704-9219 | 2018-01-17 |
| 1548610272 | Tamara Helfer, M.d., Pllc | Psychiatry & Neurology | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9212 | 2016-06-14 |
| 1013336197 | Paula Porter Griffith | Psychiatry & Neurology | 414 Shoup Ave W, Twin Falls, ID 83301-5042 | 2014-04-16 |
| 1104124122 | Centerpointe, Inc. | Psychiatry & Neurology | 915 Parkcentre Way Ste 7, Nampa, ID 83651-1748 | 2011-03-01 |
| 1104135375 | Ninon Germain Md Pllc | Psychiatry & Neurology | 413 N Allumbaugh St Ste 101, Boise, ID 83704-9219 | 2010-10-05 |
| 1962663633 | Tamara S Helfer | Psychiatry & Neurology | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9212 | 2008-06-24 |
| 1447448659 | Cristina Sanchez-jaquez | Psychiatry & Neurology | 2705 E 17th St, Ammon, ID 83406-6601 | 2007-10-12 |
| 1588705560 | Ninon Marie Germain Collet | Psychiatry & Neurology | 651 Memorial Dr, Pocatello, ID 83201-4071 | 2007-02-10 |
| 1184780694 | Kelly Page Palmer | Psychiatry & Neurology | 700 East Alice Street, Blackfoot, ID 83221-0400 | 2006-12-29 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83401 |
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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.