MARY BETH ROEHLING (NPI# 1437494457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437494457 |
| Entity Type | Individual |
| Full Name | MARY BETH ROEHLING |
| Practice Address |
2040 E Hologate Ct Eagle ID 83616 |
| Mailing Address |
Po Box 1804 Eagle ID 83616 |
| Practice Telephone | 2088666840 |
| Practice Fax Number | 9495774700 |
| Mailing Telephone | 2088666840 |
| Mailing Fax Number | 9495774700 |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2020-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP-1230A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2040 E HOLOGATE CT |
| City | EAGLE |
| State | ID |
| Zip Code | 83616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
| 1861922627 | Nicholas A. Stelzner | Counselor | 2419 W. State St. Suite 8, Boise, ID 83616 | 2017-06-14 |
| 1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
| 1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
| 1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
| 1043552524 | Tori Croshaw | Social Worker | 372 S Eagle Rd Ste 190, Eagle, ID 83616 | 2013-03-21 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1659629244 | Lily Caywood | Speech-Language Pathologist | 935 E. Winding Creek Dr. Ste. 120, Eagle, ID 83616 | 2012-08-29 |
| Find all providers in zip 83616 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760003438 | Megan Bauscher | Nurse Practitioner | 3426 S Sugar Loaf Pl, Eagle, ID 83616-6751 | 2020-05-04 |
| 1174169254 | Scot Klein | Nurse Practitioner | 3188 W Wind Ct, Eagle, ID 83616-4692 | 2019-11-22 |
| 1437661345 | Benjamin Prinzing | Nurse Practitioner | 951 E Plaza Dr Ste 110, Eagle, ID 83616-6567 | 2017-11-01 |
| 1306166905 | Courtney Nicole Flynn | Nurse Practitioner | 379 E Shore Dr Ste 100, Eagle, ID 83616-5410 | 2010-06-04 |
| 1386643146 | Cynthia Ray Culp | Nurse Practitioner | 951 E Plaza Dr, Suite Number 110, Eagle, ID 83616-6566 | 2005-07-14 |
| 1215936034 | Heather Nicole Knutson | Nurse Practitioner | 1605 E Riverside Drive, Eagle, ID 83616-6237 | 2005-07-14 |
| 1013915164 | Beth Elaine Landis | Nurse Practitioner | 1540 E Rivers End Ct, Eagle, ID 83616-6390 | 2005-07-12 |
| 1376188698 | Mason Carter | Nurse Practitioner | 21 N Fisher Park Way, Eagle, ID 83616-4796 | 2019-11-11 |
| 1952852642 | Kami Crnich Bellomy | Nurse Practitioner | 1159 E Iron Eagle Dr, Suite 170d, Eagle, ID 83616-6871 | 2016-10-18 |
| 1528427796 | Danielle Sutton | Nurse Practitioner | 951 E Plaza Dr, #170, Eagle, ID 83616-6566 | 2016-02-16 |
| Find all providers in EAGLE | ||||
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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.