RODNEY KANIKKEBERG (NPI# 1417308495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417308495 |
| Entity Type | Individual |
| Full Name | RODNEY KANIKKEBERG |
| Practice Address |
317 W 6th St Ste 208 Moscow ID 83843-2321 |
| Practice Telephone | 2088823504 |
| Practice Fax Number | 2088823572 |
| Mailing Telephone | 2088823504 |
| Mailing Fax Number | 2088823572 |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC-6234 | ID | Behavioral Health & Social Service Providers |
| Street Address |
317 W 6TH ST STE 208 |
| City | MOSCOW |
| State | ID |
| Zip Code | 83843-2321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184746174 | Helping Hand Family Services, LLC | Rehabilitation Counselor | 317 W 6th St, Suite #208, Moscow, ID 83843-2368 | 2007-04-03 |
| 1942837117 | Shahna G Paul | Counselor | 317 W 6th St, Moscow, ID 83843-2321 | 2020-03-26 |
| 1760759450 | Valerie Russo | Counselor | 317 W 6th St, Suite 208, Moscow, ID 83843-2321 | 2011-11-22 |
| 1023310794 | Amy Newsome | Social Worker | 317 W 6th St, Suite 208, Moscow, ID 83843-2321 | 2010-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726880 | Moscow Physical Therapy, LLC | Clinic/Center | 1174 Alturas Drive, Suite 2, Moscow, ID 83843 | 2020-09-25 |
| 1831703057 | Hydee Flishaw Tubbs Becker | Dietitian, Registered | 614 North Hayes Street, Moscow, ID 83843 | 2020-09-04 |
| 1528626959 | Ryan Steven Clark | Student in an Organized Health Care Education/Training Program | 212 Farm Road, #201, Moscow, ID 83843 | 2019-05-31 |
| 1770141384 | Lingwen Zhang | Specialist/Technologist | 901 Paradise Creek Rd, Moscow, ID 83843 | 2019-05-30 |
| 1306363478 | Elizabeth Campbell | Dietitian, Registered | 611 S. Main, Moscow, ID 83843 | 2017-08-29 |
| 1598285496 | Gina Cretser | Counselor | 212 Rodeo Dr. #410, Moscow, ID 83843 | 2017-06-21 |
| 1124558721 | Morgan Leigh Derloshon | Specialist/Technologist | 275 Southview Ave, Apt 206, Moscow, ID 83843 | 2017-06-15 |
| 1619411790 | Kaylene Howard | Massage Therapist | 127 South Washington, Suite 6, Moscow, ID 83843 | 2016-12-08 |
| 1407237043 | Jacob Kent Christensen | Family Medicine | 831 S Ash St, Moscow, ID 83843 | 2015-06-09 |
| 1366851388 | Elisabeth Henry | Pharmacist | 2740 West Pullman Rd, Moscow, ID 83843 | 2014-08-04 |
| Find all providers in zip 83843 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125690 | Cheryl Lynn Mcgill | Counselor | 530 S Asbury St Ste 4, Moscow, ID 83843-2243 | 2018-05-21 |
| 1134634413 | Sophia Tsai Malmquist | Counselor | 530 S Asbury St Ste 2, Moscow, ID 83843-2243 | 2017-12-07 |
| 1598285496 | Gina Cretser | Counselor | 212 Rodeo Dr. #410, Moscow, ID 83843 | 2017-06-21 |
| 1790216992 | Brian Morrow | Counselor | 106 E 3rd St Ste 4b, Moscow, ID 83843-2970 | 2017-03-21 |
| 1174977144 | Caren Loomis Cox | Counselor | 530 S Asbury St, Suite 2, Moscow, ID 83843-2242 | 2016-04-15 |
| 1063875599 | Christine Meyer | Counselor | 2320 E F St, Moscow, ID 83843-9525 | 2016-04-01 |
| 1699136630 | Deborah Lind | Counselor | 497 Ridge Rd, Moscow, ID 83843-2521 | 2016-03-18 |
| 1578948980 | Julie Reynolds | Counselor | 112 W 4th St Ste 5, Moscow, ID 83843-4311 | 2015-07-27 |
| 1689928574 | Michele Lynch | Counselor | 127 S Washington St Ste 5, Moscow, ID 83843-2866 | 2012-10-31 |
| 1245524545 | Rachael Anna Kimble | Counselor | 317 W 6th St Ste 208, Moscow, ID 83843-2387 | 2011-06-03 |
| Find all providers in MOSCOW | ||||
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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.