MENDY WILLIAMS (NPI# 1366976151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366976151 |
Entity Type | Individual |
Full Name | MENDY WILLIAMS |
Practice Address |
338 E Bannock St Boise ID 83712-6207 |
Practice Telephone | 2083360895 |
Mailing Telephone | 2083360895 |
Enumeration Date | 2017-04-18 |
Last Update Date | 2017-05-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | 41957 | ID | Student, Health Care |
Street Address |
338 E BANNOCK ST |
City | BOISE |
State | ID |
Zip Code | 83712-6207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568413052 | Barbara J Tesnohlidek | Anesthesiology | 338 E Bannock St, Boise, ID 83712-6207 | 2006-05-12 |
1043727902 | Robert Erron Cooks | Nurse Anesthetist, Certified Registered | 338 E Bannock St, Boise, ID 83712-6207 | 2018-01-01 |
1740794205 | Clint Levi Hurst | Registered Nurse | 338 E Bannock St, Boise, ID 83712-6207 | 2017-11-20 |
1346769510 | Katie Elliott | Nurse Anesthetist, Certified Registered | 338 E Bannock St, Boise, ID 83712-6207 | 2017-09-19 |
1487181145 | Holly Humphreys | Nurse Anesthetist, Certified Registered | 338 E Bannock St, Boise, ID 83712-6207 | 2017-05-12 |
1477088201 | Keely Cardwell | Registered Nurse | 338 E Bannock St, Boise, ID 83712-6207 | 2017-04-30 |
1295267029 | Daniel Ewing Clark | Nurse Anesthetist, Certified Registered | 338 E Bannock St, Boise, ID 83712-6207 | 2017-03-30 |
1114468451 | Lauren Luebbe Price | Nurse Anesthetist, Certified Registered | 338 E Bannock St, Boise, ID 83712-6207 | 2017-03-20 |
1679011183 | Bradley Lau | Nurse Anesthetist, Certified Registered | 338 E Bannock St, Boise, ID 83712-6207 | 2017-02-03 |
1841737749 | Michal Kaminski | Nurse Anesthetist, Certified Registered | 338 E Bannock St, Boise, ID 83712-6207 | 2017-01-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477016012 | Veranda At Barber Station LLC | Assisted Living Facility | 3266 E. Barber Valley Drive, Boise, ID 83712 | 2019-04-10 |
1891258612 | Mary Elizabeth Riedel | Occupational Therapist | 190 E Bancock St., Boise, ID 83712 | 2019-04-09 |
1427523968 | Q17 Health Partners LLC | Surgery | 100 East Idaho Street #317, Boise, ID 83712 | 2018-10-11 |
1053898247 | Travis Dale Worwood | Social Worker | South Entrance, 1075 E. Park Blvd, Boise, ID 83712 | 2018-07-20 |
1689166761 | Kristen Nicole Ray | Social Worker | 109 E Bannock St, Boise, ID 83712 | 2018-06-04 |
1740706894 | Meghan Heitstuman | Social Worker | 190 E Bannock Street, Boise, ID 83712 | 2017-08-21 |
1942759725 | Kay Craig | Physical Therapist | 190 Bannock, Boise, ID 83712 | 2016-09-22 |
1235686395 | Sharon Bjornson | Physical Therapist | 190 East Bannack, Boise, ID 83712 | 2016-09-07 |
1033576491 | Heather Hussey | Genetic Counselor, MS | 100 E Idaho Street, Msti Genetics, Boise, ID 83712 | 2016-01-15 |
1295139137 | Amie Bartholomeus | Massage Therapist | 100 East Idaho Street, St Luke's Mountain States Tumor Institute, Boise, ID 83712 | 2014-10-21 |
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Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134733694 | Susan L Boone | Student in an Organized Health Care Education/Training Program | 8506 W Donnybrook Dr, Boise, ID 83709-0606 | 2020-09-02 |
1730715855 | Madison Hiatt | Student in an Organized Health Care Education/Training Program | 1209 W Targee St, Boise, ID 83706-4565 | 2020-03-20 |
1053946202 | Kaitlyn Casper | Student in an Organized Health Care Education/Training Program | 267 W Arrowrock Ln, Boise, ID 83706-4802 | 2020-03-09 |
1952955825 | Lani Jo Hernandez | Student in an Organized Health Care Education/Training Program | 6200 N River Pointe Dr Apt B203, Boise, ID 83714-1848 | 2019-07-30 |
1033679865 | Bryce Ellis Turnbull | Student in an Organized Health Care Education/Training Program | 1128 S Garden Pl, Boise, ID 83705-5845 | 2019-03-20 |
1306331186 | Alexander Combs | Student in an Organized Health Care Education/Training Program | 5526 N Rothmans Ave, Boise, ID 83713-0950 | 2018-06-25 |
1528552031 | Matthew James Wolter | Student in an Organized Health Care Education/Training Program | 3145 S Falling Brook Ln, Boise, ID 83706-5205 | 2018-06-18 |
1376037218 | Avery Garner | Student in an Organized Health Care Education/Training Program | 12371 W Goldenrod Ave, Boise, ID 83713-0001 | 2018-06-14 |
1760914345 | Hugo Cesar Araujo Lino | Student in an Organized Health Care Education/Training Program | 869 E Holly St, Boise, ID 83712-7840 | 2017-04-01 |
1740711019 | Ryan James Blaser | Student in an Organized Health Care Education/Training Program | 912 W Hays St Apt 4, Boise, ID 83702-5461 | 2017-03-27 |
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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.