KRYSTAN WELBORN (NPI# 1346868163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346868163 |
| Entity Type | Individual |
| Full Name | KRYSTAN WELBORN |
| Practice Address |
4750 N Five Mile Rd Boise ID 83713-2715 |
| Practice Telephone | 8889494864 |
| Mailing Telephone | 8889494864 |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | Other Service Providers |
| Street Address |
4750 N FIVE MILE RD |
| City | BOISE |
| State | ID |
| Zip Code | 83713-2715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205819950 | Kirk A. Campana | General Practice | 4750 N Five Mile Rd, Boise, ID 83713-2715 | 2005-11-28 |
| 1558921429 | Dara Anderson | Nurse Practitioner | 4750 N Five Mile Rd, Boise, ID 83713-2715 | 2019-06-13 |
| 1831473198 | Cali Bradberry | Physician Assistant | 4750 N Five Mile Rd, Boise, ID 83713-2715 | 2011-10-05 |
| 1073601233 | Physicians Clinic Pllc | Family Medicine | 4750 N Five Mile Rd, Boise, ID 83713-2715 | 2006-10-11 |
| 1487760740 | Terry M Little | Family Medicine | 4750 N Five Mile Rd, Boise, ID 83713-2715 | 2006-08-21 |
| 1275545568 | Cheryl C Amyx | Nurse Practitioner | 4750 N Five Mile Rd, Boise, ID 83713-2715 | 2006-08-13 |
| 1326003377 | Mary Paige Jeffress | Nurse Practitioner | 4750 N Five Mile Rd, Boise, ID 83713-2715 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902332 | Kidscare Home Health of Idaho, LLC | Home Health | 1835 Wildwood Street, Boise, ID 83713 | 2018-11-30 |
| 1417463928 | Kimberly Ann Bohrer | Behavioral Analyst | 12053 W Hickory Dr, Boise, ID 83713 | 2017-12-19 |
| 1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
| 1518336650 | Alliance Physical Medicine | Nurse Practitioner | 13909 W Wainwright Drive, Boise, ID 83713 | 2015-09-18 |
| 1083038335 | Jan L Rehder | Nurse Practitioner | 13150 W Persimmon Lane, Boise, ID 83713 | 2014-02-06 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
| 1659667459 | Jayson Clark | Dentist | 4274 N Eagle Road, Boise, ID 83713 | 2011-06-21 |
| 1043503659 | Steven Anthony Eckhoff | Physician Assistant | 11662 W Arlen St, Boise, ID 83713 | 2011-05-16 |
| 1790923621 | Christie Dudash Flynn | Physician Assistant | 12273 W Mcmillian Road, Boise, ID 83713 | 2009-01-30 |
| 1699930404 | Dennis J. Garpetti, Dds, P.C. | Dentist | 13108 West Persimmon Lane, Boise, ID 83713 | 2008-07-21 |
| Find all providers in zip 83713 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285027672 | Kimberlee Brant | Community Health Worker | 5460 W Franklin Rd Ste H, Boise, ID 83705-1080 | 2015-03-10 |
| 1245561505 | Jaime Rochelle Marshall | Community Health Worker | 1720 N Westgate Dr, Boise, ID 83704-7164 | 2010-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710599022 | Mary Koczyk | Community Health Worker | 2201 N Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2020-08-18 |
| 1154947950 | Jackie Lyn Kayne-sherar | Community Health Worker | 2025 W Park Pl Ste B, Coeur D Alene, ID 83814-2787 | 2020-06-18 |
| 1124662861 | Tracy A Bauhs | Community Health Worker | 2201 N Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2019-11-06 |
| 1194367821 | Betty E Maxwell | Community Health Worker | 2205 N Ironwood Pl Ste A, Coeur D Alene, ID 83814-2487 | 2019-10-15 |
| 1619492824 | Renee Joy Stevens | Community Health Worker | 149 Mountain View Ln, Grangeville, ID 83530-5354 | 2017-08-08 |
| 1124561063 | Pavel L Zaverukha | Community Health Worker | 4933 W Astonte St, Meridian, ID 83646-7101 | 2016-11-26 |
| 1447708177 | Birdee Lynne Davis | Community Health Worker | 715 Cherry St, Pocatello, ID 83201-5646 | 2016-09-11 |
| 1003281544 | Rebekah Rary | Community Health Worker | 922 E Folgado Ct, Kuna, ID 83634-5181 | 2015-12-09 |
| 1376945162 | Jeff Dean Webb | Community Health Worker | 412 22nd Ave S, Nampa, ID 83651-5424 | 2014-09-23 |
| 1811308661 | Community Health and Immunization Services, LLC | Community Health Worker | 1243 E Iron Eagle Dr # 135b, Eagle, ID 83616-6599 | 2014-05-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KRYSTAN WELBORN.
| 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.