STEPHANIE NEVINS (NPI# 1336706936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336706936 |
| Entity Type | Individual |
| Full Name | STEPHANIE NEVINS |
| Practice Address |
1625 W State St Ste 100 Boise ID 83702-4003 |
| Mailing Address |
509 W Chrisfield Dr Meridian ID 83646-3256 |
| Practice Telephone | 2083360017 |
| Mailing Telephone | 3607229349 |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2019-05-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609853035 | Stephanie Anne Nevins | Anesthesiology | 2000 E Southern Ave, Ste 102, Tempe, AZ 85282-7510 | 2005-12-28 |
| Street Address |
1625 W STATE ST STE 100 |
| City | BOISE |
| State | ID |
| Zip Code | 83702-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861967275 | Chelsi Michaelyn Layton | Massage Therapist | 1625 W State St Ste 100, Boise, ID 83702-4003 | 2018-10-11 |
| 1083260194 | Natalie Ellis | Massage Therapist | 1625 W State St Ste 100, Boise, ID 83702-4003 | 2019-08-14 |
| 1669939898 | Dina Marie Colosimo | Massage Therapist | 1625 W State St Ste 100, Boise, ID 83702-4003 | 2019-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588288344 | Elizabeth S Rogers-buuck | Massage Therapist | 5333 W Franklin Rd Ste C, Boise, ID 83705-1119 | 2020-06-07 |
| 1396369781 | Tina Marie Wright | Massage Therapist | 38 Mores Creek Cir, Boise, ID 83716-3026 | 2020-06-02 |
| 1669094348 | Lisa Marie Piscopo | Massage Therapist | 4940 E Mill Station Dr, Boise, ID 83716-8628 | 2020-05-15 |
| 1326688524 | Justin Kobbe Solace | Massage Therapist | 919 N 27th St Ste A, Boise, ID 83702-2130 | 2020-01-15 |
| 1679111090 | Veronica Renee Roby | Massage Therapist | 2034 E Independence Dr, Boise, ID 83706-5472 | 2019-12-16 |
| 1659838126 | Monica Tenaya | Massage Therapist | 1915 E Roanoke Dr, Boise, ID 83712-7528 | 2019-02-21 |
| 1750846382 | Katheryn Rekow | Massage Therapist | 1390 S Maple Grove Rd # 200, Boise, ID 83709-1610 | 2019-02-07 |
| 1114495868 | Angela Hastings | Massage Therapist | 6901 W Emerald St Ste 206, Boise, ID 83704-8660 | 2018-11-09 |
| 1861967275 | Chelsi Michaelyn Layton | Massage Therapist | 1625 W State St Ste 100, Boise, ID 83702-4003 | 2018-10-11 |
| 1346724366 | Deann L Holexa | Massage Therapist | 4485 N Dresden Pl, Boise, ID 83714-1379 | 2018-09-17 |
| Find all providers in BOISE | ||||
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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.