THERESA A. PORCARELLI (NPI# 1538440821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538440821 |
| Entity Type | Individual |
| Full Name | THERESA A. PORCARELLI |
| Credential | RDMS, RVT, RDCS |
| Practice Address |
1076 W Hayden Ave Hayden ID 83835-8793 |
| Mailing Address |
807 W Lakeshore Dr Coeur D Alene ID 83814-2131 |
| Practice Telephone | 2087722823 |
| Mailing Telephone | 2086612366 |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
3082 | MD | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1076 W HAYDEN AVE |
| City | HAYDEN |
| State | ID |
| Zip Code | 83835-8793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881621712 | Dayspring Midwifery Services | Midwife | 1076 W Hayden Ave, Hayden, ID 83835-8793 | 2006-06-27 |
| 1205369436 | Jennifer Dawn Brakeman | Midwife | 1076 W Hayden Ave, Hayden, ID 83835 | 2017-04-05 |
| 1750662920 | Inside Image | Radiologic Technologist | 1076 W Hayden Ave, Hayden, ID 83835-8793 | 2011-09-01 |
| 1225245053 | Inga Arts | Midwife | 1076 W Hayden Ave, Hayden, ID 83835-8793 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881212371 | Ngan T Nguyen | Pharmacist | 161 E. Prairie Shopping Center, Hayden, ID 83835 | 2020-07-10 |
| 1689158461 | Rskiom, Pllc | Electrodiagnostic Medicine | 9323 N Government Way #6, Hayden, ID 83835 | 2018-09-18 |
| 1235616913 | Kimberly Jill Young | Dietitian, Registered | 8500 N. Atlas Rd., Hayden, ID 83835 | 2018-07-25 |
| 1851894380 | Medicine Man North Pharmacy Inc | Pharmacy | 30585 N Roberts Rd, Hayden, ID 83835 | 2018-03-11 |
| 1366997322 | Jennifer Amber Belmont | Social Worker | 8680 N Wayne Dr, Suite A, Hayden, ID 83835 | 2016-08-19 |
| 1548637994 | Dance Dentistry Pllc | Clinic/Center | 1027 W Prairie Ave, Hayden, ID 83835 | 2015-09-01 |
| 1982012498 | Dallin J. Dance | Dentist | 1027 W. Prairie Ave., Hayden, ID 83835 | 2014-07-28 |
| 1669808614 | Integrated Interventions LLC | Clinic/Center | 2482 E. Glacier Rd., Hayden Lake, ID 83835 | 2013-09-23 |
| 1669812301 | Caleb Jerome Foss | Physical Therapist | 8382 N Wayne Dr Ste 100, Hayden, ID 83835 | 2013-06-26 |
| 1437493798 | Joseph Neal Tessendorf | Chiropractor | 1401 Biztown Loop, Hayden, ID 83835 | 2012-11-26 |
| Find all providers in zip 83835 | ||||
| Taxonomy Code | 2471S1302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750662920 | Inside Image | Radiologic Technologist | 1076 W Hayden Ave, Hayden, ID 83835-8793 | 2011-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780968313 | Ranae Davison | Radiologic Technologist | 1515 Newport St, Boise, ID 83709-3008 | 2011-09-30 |
| 1598063471 | Daniel E Arthur | Radiologic Technologist | 5023 E Fernan Lake Rd, 5023 E Fernan Lake Rd, Coeur D Alene, ID 83814-7778 | 2011-03-02 |
| 1477867950 | Sherri L. Eames | Radiologic Technologist | 9402 S Marsh Creek Rd, Mccammon, ID 83250-1695 | 2010-07-27 |
| 1013081058 | Bobodzhanov Inc | Radiologic Technologist | 440 W Broderick Dr, Meridian, ID 83646-6427 | 2006-11-20 |
| 1669929428 | Trina Armstrong | Radiologic Technologist | 2201 N Government Way, Suite J, Coeur D Alene, ID 83814-3658 | 2016-09-08 |
| 1265989172 | Cda Ultrasound, Inc. | Radiologic Technologist | 2201 N Government Way, Suite J, Coeur D Alene, ID 83814-3658 | 2016-09-08 |
| 1669929840 | Travis Armstrong | Radiologic Technologist | 2201 N Government Way, Suite J, Coeur D Alene, ID 83814-3658 | 2016-09-06 |
| 1215387857 | Baby's First Womb Inc | Radiologic Technologist | 1404 N Main St, Ste 100, Meridian, ID 83642-2799 | 2016-06-14 |
| 1861872574 | Darci Caywood | Radiologic Technologist | 16670 Ustick Rd, Caldwell, ID 83607-9611 | 2015-06-08 |
Please comment or provide details below to improve the information on THERESA A. PORCARELLI.
| 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.