TIFFANY S MILLETT (NPI# 1457820334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457820334 |
| Entity Type | Individual |
| Full Name | TIFFANY S MILLETT |
| Credential | NP |
| Practice Address |
10583 W Lake Hazel Rd Boise ID 83709-6326 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642 |
| Practice Telephone | 2083025950 |
| Mailing Telephone | 2083025950 |
| Mailing Fax Number | 2083025955 |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2019-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
59613 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10583 W LAKE HAZEL RD |
| City | BOISE |
| State | ID |
| Zip Code | 83709-6326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275681256 | Daniel L Meltzer | Emergency Medicine | 10583 W Lake Hazel Rd, Boise, ID 83709 | 2007-01-08 |
| 1255957403 | Alysse Michele Weber | Nurse Practitioner | 10583 W Lake Hazel Rd, Boise, ID 83709 | 2020-06-23 |
| 1811522949 | Carmen Salyer | Nurse Practitioner | 10583 W Lake Hazel Rd, Boise, ID 83709-6326 | 2020-03-09 |
| 1760025142 | Cassandra Duncan | Nurse Practitioner | 10583 W Lake Hazel Rd, Boise, ID 83709-6326 | 2019-10-18 |
| 1013568468 | Micah Ray Tobin | Physician Assistant | 10583 W Lake Hazel Rd, Boise, ID 83709 | 2019-09-26 |
| 1689226177 | Jeffrey Kenneth Weese | Nurse Practitioner | 10583 W Lake Hazel Rd, Boise, ID 83709 | 2019-07-15 |
| 1912569351 | Sergey Kashubin | Nurse Practitioner | 10583 W Lake Hazel Rd, Boise, ID 83709-6326 | 2019-07-06 |
| 1184189839 | Eric Konkel | Physician Assistant | 10583 W Lake Hazel Rd, Boise, ID 83709 | 2019-02-06 |
| 1851855258 | Cameron J Guthrie | Physician Assistant | 10583 W Lake Hazel Rd, Boise, ID 83709 | 2019-01-30 |
| 1063983153 | Erin R Bohn | Nurse Practitioner | 10583 W Lake Hazel Rd, Boise, ID 83709-6326 | 2018-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655398 | Jayme Rossow | Occupational Therapist | 101 S. Allumbaugh Way, Boise, ID 83709 | 2020-10-05 |
| 1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
| 1164080164 | Elena Stamm | Audiologist | 10000 W Amity Rd, Boise, ID 83709 | 2019-06-04 |
| 1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
| 1457879975 | Mark Aaron Phelan | Registered Nurse | 779 S. Tennyson Way, Boise, ID 83709 | 2017-09-05 |
| 1235665290 | Sharon Nelson | Dietitian, Registered | 2790 S Goshen Way, Boise, ID 83709 | 2017-05-11 |
| 1982139622 | First Choice Healthcare, Inc. | Home Health | 12400 W. Overland Rd., Ste 100, Boise, ID 83709 | 2017-05-01 |
| 1801320254 | Deborah Carson | Social Worker | 8349 West Harmonica Way, Boise, ID 83709 | 2017-04-12 |
| 1114479862 | Allyson Anne Bates | Nurse Practitioner | 10583 W Lake Hazel Road, Samg Family Medicine, Boise, ID 83709 | 2016-10-28 |
| 1508221391 | Elisha L. Garrison | Counselor | 9196 W. Barnes Street, Boise, ID 83709 | 2015-12-21 |
| Find all providers in zip 83709 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061398 | Nicolette A Eberline | Nurse Practitioner | 4228 W Guard St Bldg 665, Boise, ID 83705-8049 | 2020-10-22 |
| 1013522275 | Beau Lee | Nurse Practitioner | 2900 N Burton St, Boise, ID 83704-5314 | 2020-09-14 |
| 1588277529 | Tauna Marie Young | Nurse Practitioner | 1681 S Kimball Way, Boise, ID 83709-1654 | 2020-08-28 |
| 1497367114 | Lindsay Ruggles | Nurse Practitioner | 1105 S Federal Way, Boise, ID 83705-2546 | 2020-08-24 |
| 1265056014 | Brynn Crisp | Nurse Practitioner | 1075 N Curtis Rd Ste 100, Boise, ID 83706-1348 | 2020-06-07 |
| 1518592674 | Amber Lynn Gillette | Nurse Practitioner | 1111 S Orchard St Ste 251, Boise, ID 83705-1964 | 2020-03-10 |
| 1265062806 | Jamie Watts | Nurse Practitioner | 5353 W Hill Rd, Boise, ID 83703-2943 | 2020-01-23 |
| 1730654435 | Melissa Gaffrey | Nurse Practitioner | 500 S 8th St, Boise, ID 83702-7107 | 2018-10-09 |
| 1659876399 | Dixie Jean Skinner | Nurse Practitioner | 10583 W. Lake Hazel Rd., Boise, ID 83709-8370 | 2018-03-26 |
| 1063912202 | Devon Moser | Nurse Practitioner | 901 N Curtis Rd Ste 100, Boise, ID 83706-1339 | 2018-02-14 |
| Find all providers in BOISE | ||||
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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.