ALISA D. ORTEGA (NPI# 1811184492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811184492 |
| Entity Type | Individual |
| Full Name | ALISA D. ORTEGA |
| Credential | NP |
| Practice Address |
417 S 6th St Boise ID 83702-7632 |
| Mailing Address |
190 E Bannock St Boise ID 83712-6241 |
| Practice Telephone | 2085774460 |
| Practice Fax Number | 2085774469 |
| Mailing Telephone | 2083812222 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2012-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
NP242A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UPIN | D93724 | 01 |
| Street Address |
417 S 6TH ST |
| City | BOISE |
| State | ID |
| Zip Code | 83702-7632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437785805 | Rachael Bazzett | Social Worker | 417 S 6th St, Boise, ID 83702-7632 | 2020-03-18 |
| 1801366117 | Michelle Borgquist | Social Worker | 417 S 6th St, Boise, ID 83702-7632 | 2018-11-29 |
| 1306315940 | Katherine Jean Marie Lovejoy | Social Worker | 417 S 6th St, Boise, ID 83702-7632 | 2018-11-13 |
| 1386145050 | Trina Nanette Allen | Social Worker | 417 S 6th St, Boise, ID 83702-7632 | 2018-02-27 |
| 1770083933 | Taylor Numedahl | Social Worker | 417 S 6th St, Boise, ID 83702-7632 | 2018-02-14 |
| 1730608688 | Jenna Lindsay Gere | Nurse Practitioner | 417 S 6th St, Boise, ID 83702-7632 | 2017-09-12 |
| 1841728342 | Tracy Jungman | Nurse Practitioner | 417 S 6th St, Boise, ID 83702-7632 | 2017-05-26 |
| 1477953503 | Lara Foster | Social Worker | 417 S 6th St, Boise, ID 83702-7632 | 2014-08-26 |
| 1043632417 | Kassi Mcdowell | Social Worker | 417 S 6th St, Boise, ID 83702-7632 | 2014-01-20 |
| 1619399011 | Emily Wettstein | Social Worker | 417 S 6th St, Boise, ID 83702-7632 | 2014-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| 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 |
| 1073675617 | Leona Jo'anne' Church | Nurse Practitioner | 1655 W Fairview Ave Ste 206, Boise, ID 83702-5190 | 2006-12-13 |
| 1386204758 | Aimee Lynn Hastriter | Nurse Practitioner | 125 E Idaho St Ste 200, Boise, ID 83712-6225 | 2019-06-18 |
| 1659844066 | Rachel Bentley | Nurse Practitioner | 1072 N Liberty St Ste 200, Boise, ID 83704-8963 | 2019-01-08 |
| 1760845259 | Jill Moughamian | Nurse Practitioner | 4700 N Cloverdale Rd Ste 103, Boise, ID 83713-1067 | 2016-04-01 |
| 1326388653 | Mitzi M Cieslak | Nurse Practitioner | 100 E Idaho St, Ste 200, Boise, ID 83712-6267 | 2013-02-23 |
| 1083977391 | Dawn L Powell | Nurse Practitioner | 610 W Hays St, Boise, ID 83702-5511 | 2012-06-21 |
| 1437467644 | Jaeger A Ashton | Nurse Practitioner | 305 E Jefferson St, Boise, ID 83712-6273 | 2010-09-22 |
| 1619158144 | Margaret A Henbest | Nurse Practitioner | 190 E Bannock St, Boise, ID 83712-6241 | 2007-11-27 |
| Find all providers in BOISE | ||||
Please comment or provide details below to improve the information on ALISA D. ORTEGA.
| 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.