MRS. CLARA MARIE FLYNN (NPI# 1659438935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659438935 |
Entity Type | Individual |
Full Name | MRS. CLARA MARIE FLYNN |
Credential | RD, CSR, CDE |
Practice Address |
3525 E Louise Dr Suite 100 Meridian ID 83642-6302 |
Practice Telephone | 2088468335 |
Practice Fax Number | 2088468336 |
Mailing Telephone | 2088468335 |
Mailing Fax Number | 2088468336 |
Enumeration Date | 2007-01-03 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
D-114 | ID | Dietary & Nutritional Service Providers |
Street Address |
3525 E LOUISE DR SUITE 100 |
City | MERIDIAN |
State | ID |
Zip Code | 83642-6302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679528368 | Anna M Mccreath | Nurse Practitioner | 3525 E Louise Dr, Suite 400, Meridian, ID 83642 | 2006-05-23 |
1467919902 | Erin Gwynn | Registered Nurse | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2019-02-20 |
1386133742 | Sara M Palma | Registered Nurse | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2018-05-01 |
1427555184 | Lindsay Reade | Clinical Exercise Physiologist | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2018-04-10 |
1831696590 | Natalie Meninga | Registered Nurse | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2018-04-10 |
1558868174 | Erin Norton | Registered Nurse | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2018-04-10 |
1982101564 | Rhonda M Frost | Registered Nurse | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2018-04-10 |
1003312117 | Jeffrey Wagner | Clinical Exercise Physiologist | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2018-04-05 |
1225530595 | Joselyn N Read | Dietitian, Registered | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2018-03-02 |
1699219576 | Valerie Naegele | Respiratory Therapist, Registered | 3525 E Louise Dr, Suite 500, Meridian, ID 83642-6302 | 2016-12-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
Find all providers in zip 83642 |
Taxonomy Code | 133VN1005X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Renal |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790016830 | Janine C Neiwirth | Dietitian, Registered | 207 8th Ave E, Twin Falls, ID 83301-6326 | 2010-01-28 |
1023240496 | L. Elaine Niebaur | Dietitian, Registered | 1522 Sod Farm Rd, Pocatello, ID 83204-7532 | 2009-08-18 |
1770920506 | Christina Ann Swatsenbarg | Dietitian, Registered | 2225 Teton Plz, Suite #a, Idaho Falls, ID 83404-6494 | 2013-06-03 |
1568736056 | Lindsey A Zirker | Dietitian, Registered | 2381 E Sunnyside Rd, Idaho Falls, ID 83404-7521 | 2012-02-29 |
1609108802 | Darcy A. Gans-below | Dietitian, Registered | 280 W Georgia Ave, Nampa, ID 83686-2835 | 2010-02-12 |
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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.