MRS. ELIZABETH PUCKETT THURMOND


Address: 9850 St Lukes Dr, Nampa, ID 83687-7912
Phone: (208) 505-2108

MRS. ELIZABETH PUCKETT THURMOND (NPI# 1902124142) 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) 1902124142
Entity Type Individual
Full Name MRS. ELIZABETH PUCKETT THURMOND
Credential RN MSN AGACNP-BC
Practice Address 9850 St Lukes Dr
Nampa
ID 83687-7912
Practice Telephone (208) 505-2108
Mailing Telephone (208) 505-2108
Enumeration Date 2010-05-12
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 56592 ID Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
225 North Pine Street, Suite E, Gunnison, CO 81230 9706410209 9706418346

Office Location

Street Address 9850 ST LUKES DR
City NAMPA
State ID
Zip Code 83687-7912

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740286723 Bryan C Pogue Sr. Family Medicine 9850 St Lukes Dr, Nampa, ID 83687-7912 2005-06-23
1124688361 Joann Barney Teuber Physical Therapist 9850 St Lukes Dr, Nampa, ID 83687-7912 2019-06-19
1811556988 Caitlin E Stagg Social Worker 9850 St Lukes Dr, Nampa, ID 83687-7912 2019-06-11
1023674215 Amanda Stone Social Worker 9850 St Lukes Dr, Nampa, ID 83687-7912 2019-05-14
1164986873 Shawn Reiling Social Worker 9850 St Lukes Dr, Nampa, ID 83687-7912 2019-01-27
1487127254 Zoe Saulsgiver Physical Therapist 9850 St Lukes Dr, Nampa, ID 83687-7912 2019-01-04
1740765346 Ashley Geist Occupational Therapist 9850 St Lukes Dr, Nampa, ID 83687-7912 2018-09-28
1588148118 Melanie Eileen Smith Registered Nurse 9850 St Lukes Dr, Nampa, ID 83687-7912 2018-09-19
1457832461 Paula Simone Vause Social Worker 9850 St Lukes Dr, Nampa, ID 83687-7912 2018-08-27
1700367273 Rebecca Haskell Social Worker 9850 St Lukes Dr, Nampa, ID 83687-7912 2018-08-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699307447 Current Physical Therapy Nampa LLC Physical Therapist 16150 N High Desert Street, Nampa, ID 83687 2020-02-10
1356867683 Nampa of Cascadia, LLC Skilled Nursing Facility 900 North Happy Valley Rd, Nampa, ID 83687 2017-08-18
1750828513 Daniel & Max, LLC Optometrist 1600 Karcher Rd, Nampa, ID 83687 2017-01-31
1578965422 Jorge Domingo Reyes Counselor 5700 E. Franklin Rd., Suite 220-i, Nampa, ID 83687 2014-09-23
1619302080 David Lyle Farris Dentist 16548 North Franklin Blvd., Nampa, ID 83687 2013-09-04
1871934547 Ian Zafar Qureshi Internal Medicine 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 2013-07-10
1457696783 Laurel Evans Specialist/Technologist 850 W. St. Luke's Dr., Suite 215, Nampa, ID 83687 2012-11-27
1750641197 Andrea Patricia Fitzer Nurse Practitioner 4400 E. Flamingo Ave, Nampa, ID 83687 2012-05-18
1679846182 Ivony Case Management Case Management 811 12th Street, Ste. 2, Nampa, ID 83687 2012-02-14
1699043679 Saltzer Medical Group, P.a. Durable Medical Equipment & Medical Supplies 9850 W St Lukes Drive, Nampa, ID 83687 2011-12-06
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700213287 Xl Hospice Nurse Practitioner 312 3rd St S, Nampa, ID 83651-3717 2013-09-30
1750641197 Andrea Patricia Fitzer Nurse Practitioner 4400 E. Flamingo Ave, Nampa, ID 83687 2012-05-18
1417246158 Regional Physician Services of Idaho, PC Nurse Practitioner 1105 2nd St S Ste 100, Nampa, ID 83651-3911 2011-04-04
1326132432 Karen Ann Bean Nurse Practitioner Treasure Valley Gastroenterology, 222 W. Iowa Avenue Suite A, Nampa, ID 83686 2006-10-03
1629161625 Andrea L Schooler-smith Nurse Practitioner 223 16th Ave, Nampa, ID 83687 2006-10-02
1477504090 Saint Alphonsus Physician Services Inc Nurse Practitioner 211 W Iowa Ave, Nampa, ID 83686-2834 2006-05-16
1366492084 Saint Alphonsus Physician Services Inc Nurse Practitioner 1200 Garrity Blvd, Nampa, ID 83687-3402 2006-05-11
1033190582 Carolyn G Barnhart Nurse Practitioner 1375 N Happy Valley Rd, Nampa, ID 83687-5280 2005-11-10
1780674770 Paul H Christensen Nurse Practitioner 215& E Hawaii Ave, Nampa, ID 83686-6011 2005-10-21
1922001478 Stephen J Zeimantz Nurse Practitioner 3165 E Greenhurst Rd, Nampa, ID 83686-8655 2005-05-28
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Competitor

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City NAMPA
Zip Code 83687

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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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