ST LUKE'S ELKS CHILDREN'S REHABILITATION (NPI# 1457751471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457751471 |
| Entity Type | Organization |
| Organization Name | ST LUKE'S ELKS CHILDREN'S REHABILITATION |
| Practice Address |
3525 E Louise Dr Suite 255 Meridian ID 83642-6302 |
| Mailing Address |
914 N 18th St Boise ID 83702-3317 |
| Practice Telephone | 2084895099 |
| Mailing Telephone | 4348255091 |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |
| Authorized Official Name | JOHN WELSH (ELKS PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 2084894635 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283XC2000X |
Rehabilitation Hospital Specialization: Children |
OT-963 | ID | Hospitals |
| Street Address |
3525 E LOUISE DR SUITE 255 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-6302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679528368 | Anna M Mccreath | Nurse Practitioner | 3525 E Louise Dr, Suite 400, Meridian, ID 83642 | 2006-05-23 |
| 1467919902 | Erin Gwynn | Registered Nurse | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2019-02-20 |
| 1386133742 | Sara M Palma | Registered Nurse | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2018-05-01 |
| 1427555184 | Lindsay Reade | Clinical Exercise Physiologist | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2018-04-10 |
| 1831696590 | Natalie Meninga | Registered Nurse | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2018-04-10 |
| 1558868174 | Erin Norton | Registered Nurse | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2018-04-10 |
| 1982101564 | Rhonda M Frost | Registered Nurse | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2018-04-10 |
| 1003312117 | Jeffrey Wagner | Clinical Exercise Physiologist | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2018-04-05 |
| 1225530595 | Joselyn N Read | Dietitian, Registered | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2018-03-02 |
| 1699219576 | Valerie Naegele | Respiratory Therapist, Registered | 3525 E Louise Dr, Suite 500, Meridian, ID 83642-6302 | 2016-12-12 |
| 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 | 283XC2000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932496866 | Dinah Sue Reilly | Rehabilitation Hospital | 179 Sw 5th Ave, Meridian, ID 83642-2995 | 2011-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508267915 | Superstars Occupational Therapy for Kids | Rehabilitation Hospital | 2422 Partridge Loop, Post Falls, ID 83854-4944 | 2014-09-05 |
| 1366855603 | J Crosby Stansfield | Rehabilitation Hospital | 2550 Addison Ave E Ste D, Twin Falls, ID 83301-6749 | 2014-06-04 |
| 1548697006 | St. Luke's Elks Childrens Rehab | Rehabilitation Hospital | 405 W Myrtle St, Boise, ID 83702-7658 | 2013-09-30 |
Please comment or provide details below to improve the information on ST LUKE'S ELKS CHILDREN'S REHABILITATION.
| 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.