NICOLA L MCLACHLAN (NPI# 1720164122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720164122 |
| Entity Type | Individual |
| Full Name | NICOLA L MCLACHLAN |
| Credential | PNP |
| Practice Address |
Lakeside Pediatric & Adolescent Medicine 980 W Ironwood Drive Suite 302 Coeur D Alene ID 83814 |
| Practice Telephone | 2086670585 |
| Practice Fax Number | 2086670876 |
| Mailing Telephone | 2086670585 |
| Mailing Fax Number | 2086670876 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2019-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
NP628A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | REGENCE BLUE SHIELD | 000010144440 | 01 |
| ID | BLUE CROSS OF IDAHO | NPPS9 | 01 |
| ID | BLUE CROSS | NPKM0 | 01 |
| MT | 1720164122 | 05 | |
| AK | NP177ID | 05 | |
| ID | 806680100 | 05 | |
| WA | 9645888 | 05 | |
| ID | REGENCE BLUE SHIELD | 000010144441 | 01 |
| Street Address |
LAKESIDE PEDIATRIC & ADOLESCENT MEDICINE 980 W IRONWOOD DRIVE SUITE 302 |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013258268 | Christine Young | Nurse Practitioner | Lakeside Pediatric & Adolescent Medicine, 980 W Ironwood Drive Suite 302, Coeur D Alene, ID 83814 | 2013-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013258268 | Christine Young | Nurse Practitioner | Lakeside Pediatric & Adolescent Medicine, 980 W Ironwood Drive Suite 302, Coeur D Alene, ID 83814 | 2013-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959100 | Taylor Frances Mello | Nurse Practitioner | 2770 N Woodview Pl, Boise, ID 83702-6541 | 2020-07-17 |
| 1275192205 | Luna Hodges | Nurse Practitioner | 125 E Idaho St Ste 200, Boise, ID 83712-6225 | 2019-06-12 |
| 1740750710 | Nurture Lactation Support for Women & Infants | Nurse Practitioner | 5480 Gleneagles Dr, Idaho Falls, ID 83401-6315 | 2018-12-03 |
| 1790291276 | Bee Happy Pediatrics | Nurse Practitioner | 3412 South 25th East, Idaho Falls, ID 83406-4967 | 2017-12-20 |
| 1376700799 | Monica Hermine Mccullough | Nurse Practitioner | 3525 E Louise Dr Ste 250, Meridian, ID 83642-6303 | 2008-05-22 |
| 1568679603 | Kathleen Bridget Marshall | Nurse Practitioner | 717 Mission Rd., Fort Hall, ID 83203-0717 | 2007-05-17 |
| 1073675617 | Leona Jo'anne' Church | Nurse Practitioner | 1655 W Fairview Ave Ste 206, Boise, ID 83702-5190 | 2006-12-13 |
| 1861477838 | Margaret Anne Fry Lawson | Nurse Practitioner | 637 E Deer Flat Rd, Kuna, ID 83634-3444 | 2005-12-13 |
| 1164411864 | Nancy Norine Miller | Nurse Practitioner | 925 W 1st St, Meridian, ID 83642 | 2005-10-17 |
| 1033102579 | Karen L Godard | Nurse Practitioner | 1305 3rd St S, Nampa, ID 83651-3903 | 2005-08-30 |
| Find all providers with the same taxonomy | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
Please comment or provide details below to improve the information on NICOLA L MCLACHLAN.
| 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.