NANCY DETTORI (NPI# 1871042556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871042556 |
| Entity Type | Individual |
| Full Name | NANCY DETTORI |
| Credential | RN |
| Practice Address |
100 Hospital Drive Ketchum ID 83340-0100 |
| Mailing Address |
Po Box 215 Fairfield ID 83327-0215 |
| Practice Telephone | 2087278356 |
| Practice Fax Number | 2087278357 |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
N-16655 | ID | Nursing Service Providers |
| Street Address |
100 HOSPITAL DRIVE |
| City | KETCHUM |
| State | ID |
| Zip Code | 83340-0100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869470 | St Lukes Medical Center Wood River Ltd | General Acute Care Hospital | 100 Hospital Drive, Ketchum, ID 83340-9999 | 2005-05-24 |
| 1275172249 | Jon J Holmquist | Pharmacist | 100 Hospital Drive, Ketchum, ID 83340 | 2019-12-23 |
| 1841756947 | Briana Nora Tyne Acker | Occupational Therapist | 100 Hospital Drive, Ketchum, ID 83340 | 2019-02-13 |
| 1336514272 | Katherine Quaglia | Physical Therapist | 100 Hospital Drive, Suite # 104, Ketchum, ID 83340-7556 | 2015-12-03 |
| 1134506256 | Cathryn Erickson | Internal Medicine | 100 Hospital Drive, Ketchum, ID 83340 | 2015-04-27 |
| 1003205949 | Robbin Warner | Physical Therapist | 100 Hospital Drive, Ketchum, ID 83340 | 2015-01-15 |
| 1558607861 | Mary Kay Hausladen Foley | Physical Therapist | 100 Hospital Drive, Suite 104, Ketchum, ID 83340 | 2012-12-14 |
| 1407116114 | Sarah Barnett Seppa | Dietitian, Registered | 100 Hospital Drive, Ketchum, ID 83340 | 2012-05-29 |
| 1841559226 | Martha M Curry | Physical Therapist | 100 Hospital Drive, Ketchum, ID 83340 | 2012-05-07 |
| 1104195916 | Terence L Ahern | Emergency Medicine | 100 Hospital Drive, Ketchum, ID 83340 | 2011-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779606 | Rooted Womens Health | Occupational Therapist | 431 N Walnut Ave, Ketchum, ID 83340 | 2020-10-29 |
| 1841826252 | Pilar Settlemier Tumolo | Counselor | 220 River Street East, Ketchum, ID 83340 | 2020-03-17 |
| 1598390643 | Alyson Holmes Witmer | Counselor | 220 2nd Ave, Ste 201, Ketchum, ID 83340 | 2020-03-10 |
| 1952864506 | Mollie Parker Szybala | Naturopath | 128 Saddle Rd, Suite 103-c, Ketchum, ID 83340 | 2019-04-10 |
| 1740789353 | Courtney Loving | Counselor | 208 N. Spruce, Ketchum, ID 83340 | 2018-02-09 |
| 1164876785 | Rebecca Grace | Psychologist | 200 River St East, Ketchum, ID 83340 | 2016-04-20 |
| 1306209556 | Garrett Coman | Dermatology | St. Luke's Dermatology, 191 5th Street West, Ketchum, ID 83340 | 2016-04-04 |
| 1265895775 | Innerhealth Md PC | Acupuncturist | 180 West 1st Street, Suite 206, Ketchum, ID 83340 | 2016-04-01 |
| 1487023503 | Tomomi Ikawa | Chiropractor | 131 4th St. E., Suite 310, Ketchum, ID 83340 | 2015-09-18 |
| 1790195766 | Maria Morris | Acupuncturist | 220 South 2nd Ave #101, Ketchum, ID 83340 | 2014-04-30 |
| Find all providers in zip 83340 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396268637 | Laura Diane Hollingshead | Registered Nurse | 420 Adams Road, Orofino, ID 83544-8354 | 2017-07-19 |
| 1528481991 | Vicki Funaiole | Registered Nurse | 1126 W River St, Boise, ID 83702-7047 | 2014-01-21 |
| 1467762856 | Jenifer Shanon Conn | Registered Nurse | 1510 12th Avenue Rd Ste 200, Nampa, ID 83686 | 2010-10-19 |
| 1891948154 | Dorothy Henry | Registered Nurse | 144 N. Orchard Heights Way, Nampa, ID 83651-8344 | 2008-10-30 |
| 1255459798 | Judy Davis | Registered Nurse | 11194 W Highmont Dr, Boise, ID 83709-7703 | 2007-03-26 |
| 1205435757 | Ji Young An | Registered Nurse | 1226 W River St, Boise, ID 83702-7049 | 2020-10-25 |
| 1922506146 | Merri Ann King | Registered Nurse | 267 N Canyon Dr, Gooding, ID 83330-5500 | 2018-01-23 |
| 1124547401 | Dorothy Plaza | Registered Nurse | 700 S Main St, Moscow, ID 83843-3056 | 2017-09-18 |
| 1386180578 | Tiffany Schenk | Registered Nurse | 1501 Hiland Ave, Suite H, Burley, ID 83318-2688 | 2017-01-11 |
| 1902298755 | Jana Marie Feldman | Registered Nurse | 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305 | 2015-03-02 |
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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.