DIXIE JEAN SKINNER


Address: 10583 W. Lake Hazel Rd., Boise, ID 83709-8370
Phone: 2083025900

DIXIE JEAN SKINNER (NPI# 1659876399) 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) 1659876399
Entity Type Individual
Full Name DIXIE JEAN SKINNER
Credential NP-C
Practice Address 10583 W. Lake Hazel Rd.
Boise
ID 83709-8370
Mailing Address 10637 W Barnsdale Ct
Boise
ID 83713-1804
Practice Telephone 2083025900
Mailing Telephone 2088592328
Enumeration Date 2018-03-26
Last Update Date 2018-03-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
57737 ID Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10583 W. LAKE HAZEL RD.
City BOISE
State ID
Zip Code 83709-8370

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NPI Name Taxonomy Address Enumeration
1427655398 Jayme Rossow Occupational Therapist 101 S. Allumbaugh Way, Boise, ID 83709 2020-10-05
1578195285 Kara Taylor Counselor 9196 W Barnes St., Boise, ID 83709 2020-02-11
1164080164 Elena Stamm Audiologist 10000 W Amity Rd, Boise, ID 83709 2019-06-04
1326550096 Lawrence D Anderson Md Estate Optometrist 8955 W Hackamore Dr, Boise, ID 83709 2017-11-02
1457879975 Mark Aaron Phelan Registered Nurse 779 S. Tennyson Way, Boise, ID 83709 2017-09-05
1235665290 Sharon Nelson Dietitian, Registered 2790 S Goshen Way, Boise, ID 83709 2017-05-11
1982139622 First Choice Healthcare, Inc. Home Health 12400 W. Overland Rd., Ste 100, Boise, ID 83709 2017-05-01
1801320254 Deborah Carson Social Worker 8349 West Harmonica Way, Boise, ID 83709 2017-04-12
1114479862 Allyson Anne Bates Nurse Practitioner 10583 W Lake Hazel Road, Samg Family Medicine, Boise, ID 83709 2016-10-28
1508221391 Elisha L. Garrison Counselor 9196 W. Barnes Street, Boise, ID 83709 2015-12-21
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568061398 Nicolette A Eberline Nurse Practitioner 4228 W Guard St Bldg 665, Boise, ID 83705-8049 2020-10-22
1013522275 Beau Lee Nurse Practitioner 2900 N Burton St, Boise, ID 83704-5314 2020-09-14
1588277529 Tauna Marie Young Nurse Practitioner 1681 S Kimball Way, Boise, ID 83709-1654 2020-08-28
1497367114 Lindsay Ruggles Nurse Practitioner 1105 S Federal Way, Boise, ID 83705-2546 2020-08-24
1265056014 Brynn Crisp Nurse Practitioner 1075 N Curtis Rd Ste 100, Boise, ID 83706-1348 2020-06-07
1518592674 Amber Lynn Gillette Nurse Practitioner 1111 S Orchard St Ste 251, Boise, ID 83705-1964 2020-03-10
1265062806 Jamie Watts Nurse Practitioner 5353 W Hill Rd, Boise, ID 83703-2943 2020-01-23
1730654435 Melissa Gaffrey Nurse Practitioner 500 S 8th St, Boise, ID 83702-7107 2018-10-09
1063912202 Devon Moser Nurse Practitioner 901 N Curtis Rd Ste 100, Boise, ID 83706-1339 2018-02-14
1376068759 Shannielle Louise Black Nurse Practitioner 8517 W Overland Rd, Boise, ID 83709-1644 2017-08-07
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Competitor

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City BOISE
Zip Code 83709

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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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