MS. SHAWNA MARIE BEECHINOR


Address: 161 E Mallard Dr, Suite 130, Boise, ID 83706-5015
Phone: 2089915207

MS. SHAWNA MARIE BEECHINOR (NPI# 1518291491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518291491
Entity Type Individual
Full Name MS. SHAWNA MARIE BEECHINOR
Credential P.A.
Practice Address 161 E Mallard Dr
Suite 130
Boise
ID 83706-5015
Mailing Address 877 W Main St
Suite 603
Boise
ID 83702-5883
Practice Telephone 2089915207
Practice Fax Number 2086396622
Mailing Telephone 2083849073
Mailing Fax Number 2083849023
Enumeration Date 2009-09-25
Last Update Date 2009-09-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA-817 ID Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA-817 ID Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 161 E MALLARD DR
SUITE 130
City BOISE
State ID
Zip Code 83706-5015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679513303 Intermountain Medical Imaging LLC Radiology 161 E Mallard Dr, Suite 120, Boise, ID 83706-5015 2006-06-08
1891313664 Aimee Edwards Gaedecke Counselor 161 E Mallard Dr, Boise, ID 83706-5015 2020-07-08
1124258611 Gem State Radiology LLP Radiology 161 E Mallard Dr, Suite 130, Boise, ID 83706-5015 2009-07-20
1154584712 Gem State Radiology LLP Radiology 161 E Mallard Dr, Suite 130, Boise, ID 83706-3974 2008-07-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164993010 Brette Marie Stephenson Counselor 1529 Belmont St., Boise, ID 83706 2018-12-17
1295249241 Boise of Cascadia, LLC Skilled Nursing Facility 6000 W. Denton St., Boise, ID 83706 2017-11-29
1174035638 Zacharia Njoroge Physician Assistant 1055 N Curtis Rd 6th Floor, Boise, ID 83706 2017-10-24
1740708965 Total Renal Care Inc Clinic/Center 1070 N Curtis Rd Ste 125, Boise, ID 83706 2017-09-08
1023532173 Amber Frisch Massage Therapist 2509 S Gekeler Lane, Boise, ID 83706 2017-07-31
1952768145 Katie Garcin Specialist 1407 E Boston Dr, Boise, ID 83706 2016-01-20
1770950677 Kathryn Bender Counselor 1205 N Garden St, Boise, ID 83706 2015-08-26
1457751802 Sabrina Shumar Physician Assistant 901 N Curtis Rd Ste 501, Boise, ID 83706 2014-09-03
1831525070 Katie Joy Wilson Social Worker 333 W. Rossi St. #300, Boise, ID 83706 2013-09-19
1609208610 Christine Lea Eden Surgery 1075 N Curtis Rd Ste 101, Boise, ID 83706 2013-07-31
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073915963 Jessica Bishop Physician Assistant 1499 W Hays St, Boise, ID 83702-5029 2014-09-23
1508287061 Heather N Fox Physician Assistant 12273 West Mcmillan Road, Boise, ID 83713 2013-12-30
1710231238 Alaina A Mccoy Physician Assistant 100 E. Idaho St., Suite 400, Boise, ID 83712 2012-11-06
1447534821 Addie Barnes Physician Assistant 900 N Liberty, Ste 101, Boise, ID 83704 2011-10-04
1134358104 Eric Culbertson Physician Assistant 633n 4th St, Boise, ID 83702-4510 2009-07-10
1790923621 Christie Dudash Flynn Physician Assistant 12273 W Mcmillian Road, Boise, ID 83713 2009-01-30
1598921595 Karen B. Barrett Physician Assistant 6000 W. Overland Road, Firstline Medical, Boise, ID 83704 2008-07-30
1972672111 Kara Mcgee Physician Assistant 727 E Riverpark Ln Ste 200, Boise, ID 83706-4097 2006-11-06
1265464036 Sharene E Watsen Physician Assistant 403 South 11th St, Ste 100, Boise, ID 83702-6906 2006-07-06
1508802091 Heidi R Munro Physician Assistant 8000 S Federal Way, Boise, ID 83716-9632 2006-06-22
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Competitor

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City BOISE
Zip Code 83706

Improve Information

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Dataset Information

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.

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