JOANNA BORK


Address: 100 E Idaho St, Suite 200, Boise, ID 83712-6267
Phone: 2083817081

JOANNA BORK (NPI# 1740605740) 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) 1740605740
Entity Type Individual
Full Name JOANNA BORK
Practice Address 100 E Idaho St
Suite 200
Boise
ID 83712-6267
Mailing Address 624 N Glen Aspen Way
Star
ID 83669-5755
Practice Telephone 2083817081
Mailing Telephone 2084842523
Enumeration Date 2014-02-27
Last Update Date 2014-02-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1004X Dietitian, Registered
Specialization: Nutrition, Pediatric
D-288 ID Dietary & Nutritional Service Providers

Office Location

Street Address 100 E IDAHO ST
SUITE 200
City BOISE
State ID
Zip Code 83712-6267

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336133776 Gregory G Janos Pediatrics 100 E Idaho St, Suite 200, Boise, ID 83712-6267 2005-08-31
1205444734 Allison Reed Pharmacist 100 E Idaho St, Boise, ID 83712-6267 2020-07-21
1619585247 Christina Gullion Pharmacist 100 E Idaho St, Boise, ID 83712-6267 2020-07-20
1548897556 Brooke Hueftle Pharmacist 100 E Idaho St, Boise, ID 83712-6267 2020-03-27
1194364919 Sarah Rosemarie Hogue Pharmacist 100 E Idaho St, Boise, ID 83712-6267 2019-12-26
1710525167 Leslie Lynn Lamontagne Pharmacist 100 E Idaho St, Boise, ID 83712-6267 2019-12-17
1487292843 Lauren Zupsic Pharmacist 100 E Idaho St, Boise, ID 83712-6267 2019-12-17
1659919199 Stephanie Matta Pharmacist 100 E Idaho St, Boise, ID 83712-6267 2019-12-16
1104464627 David Blair Wilson Pharmacist 100 E Idaho St, Boise, ID 83712-6267 2019-12-16
1386282788 Jessie Modlin Pharmacist 100 E Idaho St, Boise, ID 83712-6267 2019-12-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477016012 Veranda At Barber Station LLC Assisted Living Facility 3266 E. Barber Valley Drive, Boise, ID 83712 2019-04-10
1891258612 Mary Elizabeth Riedel Occupational Therapist 190 E Bancock St., Boise, ID 83712 2019-04-09
1427523968 Q17 Health Partners LLC Surgery 100 East Idaho Street #317, Boise, ID 83712 2018-10-11
1053898247 Travis Dale Worwood Social Worker South Entrance, 1075 E. Park Blvd, Boise, ID 83712 2018-07-20
1689166761 Kristen Nicole Ray Social Worker 109 E Bannock St, Boise, ID 83712 2018-06-04
1740706894 Meghan Heitstuman Social Worker 190 E Bannock Street, Boise, ID 83712 2017-08-21
1942759725 Kay Craig Physical Therapist 190 Bannock, Boise, ID 83712 2016-09-22
1235686395 Sharon Bjornson Physical Therapist 190 East Bannack, Boise, ID 83712 2016-09-07
1033576491 Heather Hussey Genetic Counselor, MS 100 E Idaho Street, Msti Genetics, Boise, ID 83712 2016-01-15
1295139137 Amie Bartholomeus Massage Therapist 100 East Idaho Street, St Luke's Mountain States Tumor Institute, Boise, ID 83712 2014-10-21
Find all providers in zip 83712

Taxonomy Information

Taxonomy Code 133VN1004X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Pediatric

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225423262 Serena Arave Dietitian, Registered 267 E Old Saybrook Dr, Boise, ID 83706-4920 2015-04-06
1033748124 Kody Michael Duclos Dietitian, Registered 305 E Jefferson St, Boise, ID 83712-6231 2020-04-02
1558761601 Marie Bailey-dabney Dietitian, Registered 190 E Bannock St, Boise, ID 83712-6241 2014-08-26
1235538802 Melissa Marie Wallinga Dietitian, Registered 190 E Bannock St, Boise, ID 83712-6241 2014-08-19
1659665545 Laura Margaret Boquette Dietitian, Registered 100 E Idaho St Ste 200, Boise, ID 83712-6270 2011-06-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144611872 Jobeth Deanna Kuchar Dietitian, Registered 1465 Deer Crest Street, Building P 101, Meridian, ID 83646 2015-02-17
1346665189 Heather Marie Funk Dietitian, Registered 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2014-03-04

Competitor

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City BOISE
Zip Code 83712

Improve Information

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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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