AMY DANCER (NPI# 1407214497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407214497 |
| Entity Type | Individual |
| Full Name | AMY DANCER |
| Other Name | AMY WOODS |
| Credential | NP |
| Practice Address |
2347 E Gala St Meridian ID 83642-4881 |
| Practice Telephone | 2083233676 |
| Mailing Telephone | 2083233676 |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | N-31964 | ID | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP-1707A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2347 E GALA ST |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-4881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588649412 | Thomas E O'mara | Internal Medicine | 2347 E Gala St, Meridian, ID 83642-4881 | 2005-12-14 |
| 1780032649 | Brent Taylor | Physician Assistant | 2347 E Gala St, Meridian, ID 83642-4881 | 2016-06-01 |
| 1215396478 | Jennifer Ann Fulton Hofer | Nurse Practitioner | 2347 E Gala St, Meridian, ID 83642-4881 | 2016-02-16 |
| 1922363720 | Danielle V Brunk | Nurse Practitioner | 2347 E Gala St, Meridian, ID 83642-4881 | 2012-07-08 |
| 1962773655 | Molly K. Lynn | Nurse Practitioner | 2347 E Gala St, Ste 150, Meridian, ID 83642-4881 | 2012-01-26 |
| 1003110313 | Eric Ld Scholten | Internal Medicine | 2347 E Gala St, Meridian, ID 83642 | 2010-12-29 |
| 1477874360 | Andrew David Reger | Internal Medicine | 2347 E Gala St, Meridian, ID 83642-4881 | 2010-06-15 |
| 1205034238 | David E Fonseca | Internal Medicine | 2347 E Gala St, Meridian, ID 83642-4881 | 2007-07-11 |
| 1053521203 | Oleg Sergeevich Kouskov | Internal Medicine | 2347 E Gala St, Meridian, ID 83642-4881 | 2007-05-23 |
| 1558578260 | David K. Wyler | Internal Medicine | 2347 E Gala St, Meridian, ID 83642-4881 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427152 | Christopher Alan Anthony Nicholas | Nurse Practitioner | 2889 N Chancery Pl, Meridian, ID 83646-7407 | 2020-11-05 |
| 1659971380 | Lucy M Barnes | Nurse Practitioner | 2401 State Blvd, Meridian, MS 39307-5033 | 2020-10-30 |
| 1982202743 | Jayson Paul Smith | Nurse Practitioner | 1545 East Leighfield Dr., Meridian, ID 83646 | 2020-10-14 |
| 1649885534 | Auston Whitmer | Nurse Practitioner | 2203 E Ringneck St, Meridian, ID 83646-7410 | 2020-09-09 |
| 1407460157 | Kimberly N Lacap | Nurse Practitioner | 5961 Hwy 145, Meridian, MS 39301-9761 | 2020-09-01 |
| 1134733728 | Courtney S Dubose | Nurse Practitioner | 8252 Lizelia Rd, Meridian, MS 39305-8511 | 2020-09-01 |
| 1740890698 | Kimberly Parker | Nurse Practitioner | 4708 Hickory Hills Cir, Meridian, MS 39305-2440 | 2020-08-05 |
| 1396369138 | Tracy Ann Roberts | Nurse Practitioner | 3639 S Arno Ave, Meridian, ID 83642-1396 | 2020-06-06 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1285293639 | Lindsey Sand | Nurse Practitioner | 2347 E Gala St # 150, Meridian, ID 83642-4881 | 2019-06-10 |
| Find all providers in MERIDIAN | ||||
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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.