NICHOLAS JOHN BROWNELLER (NPI# 1407410517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407410517 |
| Entity Type | Individual |
| Full Name | NICHOLAS JOHN BROWNELLER |
| Practice Address |
610 Oak St Potlatch ID 83855-0359 |
| Practice Telephone | 2083518968 |
| Mailing Telephone | 2083518968 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | A0003385 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 340 Ne Maple St, Pullman, WA 991634120 | 5093341133 |
| Street Address |
610 OAK ST |
| City | POTLATCH |
| State | ID |
| Zip Code | 83855-0359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043854508 | Allison Lea Zimms | Massage Therapist | 635 Larch Street, Potlatch, ID 83855 | 2019-10-28 |
| 1558817494 | Suzanne Paul | Family Medicine | 325 Larch Street, Potlatch, ID 83855 | 2016-08-31 |
| 1245515832 | Potlatch Family Dental, PC | Dentist | 225 6th Street, Potlatch, ID 83855 | 2011-10-15 |
| 1053504829 | Potlatch Rural Fire Dist | Ambulance | 512 Pine Street, Potlatch, ID 83855 | 2007-08-24 |
| 1285776112 | County of Latah 285 School District | Local Education Agency (LEA) | 136th Street, Potlatch, ID 83855 | 2007-02-14 |
| 1962573444 | Michael S. Hess | Pharmacist | 525 Pine St, Potlatch, ID 83855 | 2006-11-13 |
| 1356438816 | Gritman Medical Center Inc | Clinic/Center | 156 6th St, Potlatch, ID 83855 | 2006-10-06 |
| 1689661050 | Charlotte S Ainge | Physician Assistant | 156 N. 6th St, Potlatch, ID 83855 | 2005-09-30 |
| 1669866612 | Dan Lawson Dds, PC | Dentist | 225 6th Street, Potlatch, ID 83855 | 2015-03-26 |
| 1982955779 | Jennifer L Davis | Physician Assistant | 225 6th St, Potlatch, ID 83855 | 2012-09-20 |
| Find all providers in zip 83855 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1528684370 | The Unruly Tongue Myofunctional Therapy LLC | Specialist | 1125 Nw Bluegrass Cir, Mountain Home, ID 83647 | 2020-06-17 |
| 1306462197 | Two Rivers Myofunctional Therapy LLC | Specialist | 635 W Cedar Pointe Way, Nampa, ID 83686-5582 | 2020-06-17 |
| 1851855803 | Lauren Rybarczyk | Specialist | 11498 W Carmichael Dr, Boise, ID 83709-7382 | 2019-01-24 |
| 1376050997 | Kelly Collins | Specialist | 3923 S 10th Ave, Caldwell, ID 83605-6762 | 2018-01-04 |
| 1033621826 | Amanda Lachelle Pereira | Specialist | 3797 N 3550 E, Kimberly, ID 83341-5093 | 2017-11-01 |
| 1720523855 | North Idaho Surgical Assistant Association Pllc | Specialist | 9547 N Finucane Dr, Hayden, ID 83835-9057 | 2016-12-28 |
| 1033653639 | Samuel Tepper | Specialist | 207 Thain Rd, Lewiston, ID 83501-4829 | 2016-12-15 |
| 1851834311 | Tegan Shuman | Specialist | 7307 W San Fernando Dr, Boise, ID 83704-5953 | 2016-11-30 |
| 1134580525 | Amy Berasi | Specialist | 201 Pole Line Rd, Salmon, ID 83467 | 2016-03-11 |
| 1427416155 | Melodie Nicole Clapp | Specialist | 402 Jasper Ave., Notus, ID 83656-0075 | 2016-02-09 |
| Find all providers with the same taxonomy | ||||
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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.