MISS KENDRA J WESTERHAUS (NPI# 1366750929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366750929 |
Entity Type | Individual |
Full Name | MISS KENDRA J WESTERHAUS |
Credential | M.S. |
Practice Address |
500 S 11th Ave Ste 204 Pocatello ID 83201-4878 |
Mailing Address |
500 S 11th Ave Ste 400 Pocatello ID 83201-4880 |
Practice Telephone | 2082327862 |
Mailing Telephone | 2082327862 |
Mailing Fax Number | 2082322408 |
Enumeration Date | 2010-09-16 |
Last Update Date | 2019-04-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
Street Address |
500 S 11TH AVE STE 204 |
City | POCATELLO |
State | ID |
Zip Code | 83201-4878 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447316799 | Gregory Daniel Kostur | Pediatrics | 500 S 11th Ave Ste 204, Pocatello, ID 83201-4878 | 2006-12-29 |
1902456262 | Ronda Edgley | Nurse Practitioner | 500 S 11th Ave Ste 204, Pocatello, ID 83201-4878 | 2019-09-18 |
1942772223 | Health West, Inc. | Family Medicine | 500 S 11th Ave Ste 204, Pocatello, ID 83201-4878 | 2018-12-26 |
1013282169 | Christine E Black | Obstetrics & Gynecology | 500 S 11th Ave Ste 204, Pocatello, ID 83201-4878 | 2012-03-21 |
1255520599 | Yvonne Perle Treece | Specialist | 500 S 11th Ave Ste 204, Pocatello, ID 83201-4878 | 2007-10-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
Find all providers in zip 83201 |
Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336201342 | Mark West Roberts | Psychologist | 921 S 8th Ave, Garrison Hall 525 Stop 8021, Pocatello, ID 83209-0002 | 2006-12-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497997431 | Andrew Dean Sapp | Psychologist | 3770 E. Black Canyon Hwy, Emmett, ID 83617-0678 | 2009-04-06 |
1609902980 | Regents of The University of Idaho Child & Youth Study Center | Psychologist | 121 West Sweet Avenue, Moscow, ID 83843 | 2007-02-23 |
1053461186 | Frank Andrews | Psychologist | 220 S 2nd Ave, Hailey, ID 83333-8431 | 2007-01-11 |
1891704318 | Sara Bryn Morrow | Psychologist | 7905 N Meadowlark Way Ste E, Coeur D Alene, ID 83815-5041 | 2006-08-05 |
1568826204 | Kelsy Newton | Psychologist | 305 E Jefferson St, Boise, ID 83712-6273 | 2016-04-08 |
1508100876 | Big Lake Psychological Services, PC | Psychologist | 1809 E Sherman Ave, Coeur D Alene, ID 83814-5873 | 2012-11-26 |
1861755068 | Dan Earnest Day | Psychologist | 1550 N Crestmont Dr, Suite E, Meridian, ID 83642-2184 | 2012-06-21 |
1205121514 | Christine Kildow | Psychologist | 915 Parkcentre Way Ste 7, Nampa, ID 83651-1748 | 2011-06-15 |
1316243330 | St Luke's Regional Medical Center | Psychologist | 100 E Idaho St, Ste 200, Boise, ID 83712-6267 | 2011-02-09 |
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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.