KATHERINE LYNN KAISER DEVLIN (NPI# 1366620825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366620825 |
| Entity Type | Individual |
| Full Name | KATHERINE LYNN KAISER DEVLIN |
| Credential | ARNP |
| Practice Address |
1880 W Judith Lane Boise ID 83705 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2083025200 |
| Practice Fax Number | 2083025225 |
| Mailing Telephone | 2083025200 |
| Mailing Fax Number | 2083025225 |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2016-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP-1396A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30007931 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639553092 | Katherine Jean Devlin | Pharmacist | 40774 Mt Highway 35, Polson, MT 59860-7745 | 2015-07-16 |
| Street Address |
1880 W JUDITH LANE |
| City | BOISE |
| State | ID |
| Zip Code | 83705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720064785 | Lesleigh A Box | Internal Medicine | 1880 W Judith Lane, Boise, ID 83705-5221 | 2005-12-21 |
| 1538679840 | Kylee J Graef | Physician Assistant | 1880 W Judith Lane, Boise, ID 83705 | 2017-10-02 |
| 1629505458 | Jose Gomez | Physician Assistant | 1880 W Judith Lane, Boise, ID 83705 | 2017-05-11 |
| 1699096032 | Katie C Best | Social Worker | 1880 W Judith Lane, Boise, ID 83705 | 2010-06-21 |
| 1861690745 | Jennifer E Biggerstaff | Family Medicine | 1880 W Judith Lane, Boise, ID 83705-3185 | 2007-07-03 |
| 1144243619 | Sarah M Hollopeter | Family Medicine | 1880 W Judith Lane, Boise, ID 83705 | 2006-07-25 |
| 1689603219 | Michael Edward Graff | Family Medicine | 1880 W Judith Lane, Boise, ID 83705 | 2006-07-03 |
| 1245206648 | Kirk D Prodzinski | Family Medicine | 1880 W Judith Lane, Boise, ID 83705 | 2006-02-24 |
| 1356320915 | Harold Guy Moore | Family Medicine | 1880 W Judith Lane, Boise, ID 83705-5221 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938779 | Halo Health Services LLC | Community/Behavioral Health | 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 | 2020-06-29 |
| 1598265860 | Felica Jo Duce | Counselor | 921 S Orchard St Ste 103, Boise, ID 83705 | 2018-02-13 |
| 1215364278 | Erica Zelickowski | Pharmacist | 1653 S Vista Avenue, Boise, ID 83705 | 2013-10-04 |
| 1952655490 | Aida Dizdar-barac | Social Worker | 2273 S. Vista Avenue, Suite 190, Boise, ID 83705 | 2012-11-06 |
| 1033461033 | Julie Marie Meek | Social Worker | 3324 W Elder St, Boise, ID 83705 | 2012-10-15 |
| 1568761112 | Berkeley Fraser | Pharmacist | 3527 S Federal Way Suite 104, Boise, ID 83705 | 2011-03-22 |
| 1922311042 | Amber Vania | Family Medicine | 4971 W. Overland Road, Boise, ID 83705 | 2010-07-18 |
| 1295056836 | Cherise M Wetzel | Social Worker | 1625 S Eagleson Rd, B1, Boise, ID 83705 | 2010-06-17 |
| 1558685305 | Rae Ann Norell | Social Worker | 2273 S. Vista Ave, #190 Treasure Valley Community Counseling Services, Boise, ID 83705 | 2010-03-23 |
| 1164679932 | Oreana Harless | Social Worker | 2550 South Vista Ave, Boise, ID 83705 | 2008-08-25 |
| Find all providers in zip 83705 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061398 | Nicolette A Eberline | Nurse Practitioner | 4228 W Guard St Bldg 665, Boise, ID 83705-8049 | 2020-10-22 |
| 1013522275 | Beau Lee | Nurse Practitioner | 2900 N Burton St, Boise, ID 83704-5314 | 2020-09-14 |
| 1588277529 | Tauna Marie Young | Nurse Practitioner | 1681 S Kimball Way, Boise, ID 83709-1654 | 2020-08-28 |
| 1497367114 | Lindsay Ruggles | Nurse Practitioner | 1105 S Federal Way, Boise, ID 83705-2546 | 2020-08-24 |
| 1265056014 | Brynn Crisp | Nurse Practitioner | 1075 N Curtis Rd Ste 100, Boise, ID 83706-1348 | 2020-06-07 |
| 1518592674 | Amber Lynn Gillette | Nurse Practitioner | 1111 S Orchard St Ste 251, Boise, ID 83705-1964 | 2020-03-10 |
| 1265062806 | Jamie Watts | Nurse Practitioner | 5353 W Hill Rd, Boise, ID 83703-2943 | 2020-01-23 |
| 1730654435 | Melissa Gaffrey | Nurse Practitioner | 500 S 8th St, Boise, ID 83702-7107 | 2018-10-09 |
| 1659876399 | Dixie Jean Skinner | Nurse Practitioner | 10583 W. Lake Hazel Rd., Boise, ID 83709-8370 | 2018-03-26 |
| 1063912202 | Devon Moser | Nurse Practitioner | 901 N Curtis Rd Ste 100, Boise, ID 83706-1339 | 2018-02-14 |
| 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.