ANN N MOFFETT (NPI# 1578061883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578061883 |
Entity Type | Individual |
Full Name | ANN N MOFFETT |
Credential | NP-C |
Practice Address |
858 Commerce Dr. Smelterville ID 83858 |
Mailing Address |
25 Jacobs Gulch Rd Kellogg ID 83837-2023 |
Practice Telephone | 2087844612 |
Mailing Telephone | 2087844612 |
Mailing Fax Number | 2087831342 |
Enumeration Date | 2018-02-01 |
Last Update Date | 2019-02-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
57731 | ID | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
858 COMMERCE DR. |
City | SMELTERVILLE |
State | ID |
Zip Code | 83858 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467883967 | Dsi Kellogg, LLC | Clinic/Center | 858 Commerce Dr., Smelterville, ID 83868 | 2013-12-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174183578 | Kerri Ruddell | Nurse Practitioner | 16760 Id-41, Rathdrum, ID 83858 | 2019-06-18 |
1811555758 | Daniel Whitesitt | Dentist | 14596 Id-41, Rathdrum, ID 83858 | 2019-06-05 |
1831437839 | Patricia M Salois | Speech-Language Pathologist | 1564 Washington Street, Rathdrum, ID 83858 | 2013-01-25 |
1063554673 | Lakeland Joint School Disrict #272 | Local Education Agency (LEA) | 1564 Washington Ave, Rathdrum, ID 83858 | 2007-02-12 |
1275695140 | James M Mcnamara | Dentist | 13997 W Hwy 53, Rathdrum, ID 83858 | 2006-12-15 |
1568573962 | Chad Stephen Devore | Dentist | 14596 Hwy 41, Suite A, Rathdrum, ID 83858 | 2006-08-31 |
1811982994 | Frances L. White | Contractor | 14528 N Wight St, Rathdrum, ID 83858 | 2005-09-15 |
1063055069 | Karin Sue Duncan | Naturopath | 16726 N Meadowview Ln, Rathdrum, ID 83858-0017 | 2019-10-22 |
1770768624 | Gabrielle Durbin | Private Vehicle | W 7164 Diagonal, Rathdrum, ID 83858-0283 | 2008-01-09 |
1003840034 | Lorene H Lindley | Family Medicine | 13859 N Reflection Rd, Rathdrum, ID 83858-6038 | 2006-07-10 |
Find all providers in zip 83858 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891308094 | Brandon Paul Kruse | Nurse Practitioner | 3345 S Fork Ave, Nampa, ID 83686-4855 | 2020-08-26 |
1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
1558986521 | Lisa Kay Stimpson | Nurse Practitioner | 1605 Poen Rd, Kuna, ID 83634-1743 | 2020-06-15 |
1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
1295372308 | Elizabeth Balleweg | Nurse Practitioner | 2306 N 31st St, Boise, ID 83703-5628 | 2019-12-09 |
1891264545 | Tina Monique Bossolono-williams | Nurse Practitioner | 1385 Parkview Dr Ste 101, Twin Falls, ID 83301-4084 | 2018-11-23 |
1821525452 | Kristin Meshelle Hofmann | Nurse Practitioner | 420 W Main St Ste 206, Boise, ID 83702-7363 | 2017-05-14 |
1992237648 | Candice Elaine Adams | Nurse Practitioner | 5108 N Maidstone Way, Boise, ID 83713-1367 | 2017-03-31 |
1851832695 | Penny Rea | Nurse Practitioner | 5307 Green Valley Pl, Nampa, ID 83686-5790 | 2017-03-13 |
1891176798 | Christine Cooper | Nurse Practitioner | 35 W Idaho St, Weiser, ID 83672 | 2015-06-16 |
Find all providers with the same taxonomy |
City | SMELTERVILLE |
Zip Code | 83858 |
Please comment or provide details below to improve the information on ANN N MOFFETT.
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.