STEPHANIE LARIE THOMPSON (NPI# 1669901245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669901245 |
Entity Type | Individual |
Full Name | STEPHANIE LARIE THOMPSON |
Credential | NP |
Practice Address |
1510 12th Ave Rd Ste 200 Nampa ID 83686 |
Mailing Address |
3340 E Goldstone Dr Meridian ID 83642 |
Practice Telephone | 2083025470 |
Practice Fax Number | 2083025455 |
Mailing Telephone | 2083025470 |
Mailing Fax Number | 2083025455 |
Enumeration Date | 2017-06-07 |
Last Update Date | 2019-06-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
55369 | ID | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952914442 | Stephanie Thompson | Technician | 22786 Rte. 52, Fort Gay, WV 25514 | 2020-08-25 |
1720563661 | Stephanie Thompson | Massage Therapist | 5480 Tomah Dr Lowr Level, Colorado Springs, CO 80918-1928 | 2018-09-26 |
1275011918 | Stephanie Gayle Thompson | Registered Nurse | 30 Charter Club Dr, Conroe, TX 77384-4710 | 2018-08-03 |
1629402169 | Stephanie Fengler Thompson | Psychologist | 1817 Queen Anne Ave N Ste 404, Seattle, WA 98109 | 2013-08-31 |
1225339815 | Stephanie M Thompson | Physician Assistant | 100 Mimosa Dr Fl 3, Thomasville, GA 31792-6676 | 2010-11-12 |
1740319805 | Stephanie A Thompson | Speech-Language Pathologist | 2334 W Thomas St Apt 3r, Chicago, IL 60622-8229 | 2007-03-05 |
1689661589 | Stephanie J Thompson | Licensed Practical Nurse | 98-402 Koauka Loop, #1911, Aiea, HI 96701-4510 | 2005-10-05 |
1699312371 | Stephanie Thompson | Counselor | 401 S St, Sacramento, CA 95811-6919 | 2019-12-02 |
1396218574 | Stephanie Caroline Thompson | Occupational Therapy Assistant | 10450 Brian Mooney Ave, El Paso, TX 79935-2809 | 2019-01-09 |
1154897585 | Stephanie N Thompson | Counselor | 306 Rodman Rd, Auburn, ME 04210-3830 | 2018-10-24 |
Street Address |
1510 12TH AVE RD STE 200 |
City | NAMPA |
State | ID |
Zip Code | 83686 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427099852 | Linda Lam | Family Medicine | 1510 12th Ave Rd, Ste 200, Nampa, ID 83686 | 2006-06-09 |
1275165029 | Suzanne Schulke | Registered Nurse | 1510 12th Ave Rd, Nampa, ID 83686-6008 | 2020-02-10 |
1487094108 | Laura E Fink | Family Medicine | 1510 12th Ave Rd, Ste 200, Nampa, ID 83686 | 2013-06-26 |
1073778098 | Robert B Buxton | Family Medicine | 1510 12th Ave Rd, Ste 200, Nampa, ID 83886 | 2008-07-21 |
1952339434 | Jeffrey L Reimers | Physician Assistant | 1510 12th Ave Rd, Ste 200, Nampa, ID 83686-2834 | 2006-06-30 |
1609818228 | Randall R Hutchings | Family Medicine | 1510 12th Ave Rd, Ste 200, Nampa, ID 83686 | 2006-06-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
Find all providers in zip 83686 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326520719 | Jose Manuel Celedon | Nurse Practitioner | 508 E Florida Ave, Nampa, ID 83686-5823 | 2018-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194356022 | Sabrina Bojo | Nurse Practitioner | 1576 S Oriole Way, Boise, ID 83709-1325 | 2020-01-29 |
1033641154 | Tyler Jue | Nurse Practitioner | 1055 N Curtis Rd # S6, Boise, ID 83706-1309 | 2017-03-29 |
1285165399 | Corine Faught | Nurse Practitioner | 1122 Starfire St, Twin Falls, ID 83301-3146 | 2017-03-21 |
1891310892 | Sean E Cook | Nurse Practitioner | 211 E Logan St, Caldwell, ID 83605-4882 | 2020-06-15 |
1205466281 | Jeanna Rae Rendo | Nurse Practitioner | 811 Nw 12th St, Fruitland, ID 83619-2268 | 2020-01-18 |
1205498201 | Jessica Inez Gratzer | Nurse Practitioner | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2019-07-01 |
1982115309 | Laura Eaton | Nurse Practitioner | 4740 N Penngrove Way, Ste 100, Meridian, ID 83646 | 2017-10-12 |
1881129146 | Sara Jean Smith | Nurse Practitioner | 5966 W Curtisian Ave, Boise, ID 83704 | 2017-04-25 |
1447707120 | Sherri Siegel | Nurse Practitioner | 5966 W Curtisian Ave, Boise, ID 83704-8801 | 2016-09-09 |
1639578628 | Erin Michaelis | Nurse Practitioner | 6140 W Curtisian Ave, Ste 200, Boise, ID 83704 | 2014-08-15 |
Find all providers with the same taxonomy |
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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.