HAILEY ANNE CLARK (NPI# 1487125969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487125969 |
| Entity Type | Individual |
| Full Name | HAILEY ANNE CLARK |
| Credential | NP-C |
| Practice Address |
167 E 1st S Rigby ID 83442-1401 |
| Practice Telephone | 2087458747 |
| Mailing Telephone | 2087458747 |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
60009 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841703428 | Hailey Clark | Counselor | 175 W B St, Springfield, OR 97477-4575 | 2017-11-06 |
| Street Address |
167 E 1ST S |
| City | RIGBY |
| State | ID |
| Zip Code | 83442-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861483455 | Brian David Miller | Physician Assistant | 167 E 1st S, Rigby, ID 83442-1401 | 2005-11-02 |
| 1477897122 | Rigby Community Care | Durable Medical Equipment & Medical Supplies | 167 E 1st S, Rigby, ID 83442-1401 | 2012-11-19 |
| 1538425822 | Melissa M Davenport | Physician Assistant | 167 E 1st S, Rigby, ID 83442-1401 | 2012-04-11 |
| 1811043862 | Bryce Wylie | Physician Assistant | 167 E 1st S, Rigby, ID 83442-1401 | 2007-01-25 |
| 1295804425 | Larry T Curtis | Family Medicine | 167 E 1st S, Rigby, ID 83442-1401 | 2006-11-06 |
| 1952324188 | Community Care Pllc | Family Medicine | 167 E 1st S, Rigby, ID 83442-1401 | 2006-07-26 |
| 1831118801 | Kristi L Grigg | Physician Assistant | 167 E 1st S, Rigby, ID 83442-1401 | 2006-07-19 |
| 1841219987 | Bryan Hammar | Family Medicine | 167 E 1st S, Rigby, ID 83442-1401 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657010 | Rigby Pediatric Dental Pllc | Dentist | 688 Rigby Lake Circle, Suite 4, Rigby, ID 83442 | 2020-04-03 |
| 1508400912 | Ranbow LLC | Assisted Living Facility | 130 Stockham Blvd., Rigby, ID 83442 | 2019-10-30 |
| 1740833466 | Lindsay Winger | Speech-Language Pathologist | 152 E Maint St., #110, Rigby, ID 83442 | 2019-07-22 |
| 1457856429 | Kayla Childers | Speech-Language Pathologist | 152 E. Main Street, Rigby, ID 83442 | 2018-03-29 |
| 1174997878 | Zion's Management LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 470 Rigby Lake Dr., Rigby, ID 83442 | 2015-11-18 |
| 1821466376 | Chad Judy | Speech-Language Pathologist | 152 E Main Street, Suite 110, Rigby, ID 83442 | 2015-09-14 |
| 1740588276 | Jessica Brodie | Speech-Language Pathologist | 165 Front Street, Driggs, ID 83442 | 2011-03-08 |
| 1255636304 | Kathy Lebaron | Midwife | 297n 3855 East, Rigby, ID 83442 | 2011-01-21 |
| 1780834077 | Agape Birth Service and Birth Center | Midwife | 297 N 3855 East, Rigby, ID 83442 | 2008-09-24 |
| 1548431588 | Valley Orthodontics | Dentist | 197 Stockham Blvd, Suite A, Rigby, ID 83442 | 2008-03-18 |
| Find all providers in zip 83442 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871113969 | Paula Jean Sanderlin | Nurse Practitioner | 536 N Parkside, Rigby, ID 83442-5315 | 2020-04-20 |
| 1881935104 | Magno C Santos | Nurse Practitioner | 15 N 3829 E, Rigby, ID 83442-3829 | 2013-03-12 |
| 1851998710 | Magno C. Santos Msn, Fnp-c Pllc | Nurse Practitioner | 15 N 3829 E, Rigby, ID 83442-1295 | 2020-10-05 |
| 1780194696 | Spencer Stanger | Nurse Practitioner | 711 Rigby Lake Dr Ste 115, Rigby, ID 83442-5230 | 2017-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427152 | Christopher Alan Anthony Nicholas | Nurse Practitioner | 2889 N Chancery Pl, Meridian, ID 83646-7407 | 2020-11-05 |
| 1710588108 | Lauren Proteau | Nurse Practitioner | 310 S Acer Loop, Post Falls, ID 83854-8809 | 2020-11-03 |
| 1568061398 | Nicolette A Eberline | Nurse Practitioner | 4228 W Guard St Bldg 665, Boise, ID 83705-8049 | 2020-10-22 |
| 1023617347 | Kristina Oliver | Nurse Practitioner | 980 W Ironwood Dr Ste 302, Coeur D Alene, ID 83814-2668 | 2020-10-19 |
| 1730787482 | John Dustin Pena | Nurse Practitioner | 102 Courthouse Dr Ste F, Salmon, ID 83467-3905 | 2020-10-14 |
| 1982202743 | Jayson Paul Smith | Nurse Practitioner | 1545 East Leighfield Dr., Meridian, ID 83646 | 2020-10-14 |
| 1659979516 | Jennifer Anne Gardner | Nurse Practitioner | 1385 Park View Dr Ste 101, Twin Falls, ID 83301-4390 | 2020-10-13 |
| 1982210795 | Samuel Hally | Nurse Practitioner | 1346 Cimarron Ct, Middleton, ID 83644-5894 | 2020-09-17 |
| 1013522275 | Beau Lee | Nurse Practitioner | 2900 N Burton St, Boise, ID 83704-5314 | 2020-09-14 |
| 1649885534 | Auston Whitmer | Nurse Practitioner | 2203 E Ringneck St, Meridian, ID 83646-7410 | 2020-09-09 |
| 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.