CODY HAAS (NPI# 1902462039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902462039 |
| Entity Type | Individual |
| Full Name | CODY HAAS |
| Credential | PMHNP-BC |
| Practice Address |
3350 W Americana Ter Ste 320 Boise ID 83706-2548 |
| Practice Telephone | 2082525621 |
| Mailing Telephone | 2082525621 |
| Mailing Fax Number | 9494048699 |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2020-02-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
58483 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1902462039 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3152 S Bown Way Ste 102, Boise, ID 837065456 | 2089180958 | |
| 5440 W Franklin Rd Ste 108, Boise, ID 837056433 | 2082837314 | 8554143601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114252517 | Cody Kent Haas | Dentist | 1639 23rd Ave, Lewiston, ID 83501-6308 | 2009-10-02 |
| Street Address |
3350 W AMERICANA TER STE 320 |
| City | BOISE |
| State | ID |
| Zip Code | 83706-2548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063804292 | Jennifer Marie Lamb | Marriage & Family Therapist | 3350 W Americana Ter Ste 320, Boise, ID 83706-2548 | 2015-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790302594 | Dumu Psychiatry LLC | Nurse Practitioner | 9428 W Fairview Ave, Boise, ID 83704-8101 | 2020-06-29 |
| 1104309657 | Brigitta Panther | Nurse Practitioner | 418 W Reese St, Boise, ID 83706-6233 | 2018-09-11 |
| 1336413459 | Cheryl Suhr | Nurse Practitioner | 10840 W Wasdale Dr, Boise, ID 83709-7170 | 2012-03-07 |
| 1679898225 | Shawna L Kuehne | Nurse Practitioner | 1902 Judith Ln Ste 110, Boise, ID 83705-5235 | 2010-04-06 |
| 1841529310 | Carolyn Corbett | Nurse Practitioner | 7280 W Ustick Rd, Suite 101, Boise, ID 83704-5014 | 2009-12-13 |
| 1306089271 | Mark A Jepson | Nurse Practitioner | 1919 W State St, Boise, ID 83702-3958 | 2009-04-08 |
| 1548300924 | Gia Swope | Nurse Practitioner | 13967 W Wainwright Dr, Suite 103, Boise, ID 83713-2094 | 2007-02-07 |
| 1043392756 | Satu H. Woodland | Nurse Practitioner | 3152 S. Bown Way # 102, Boise, ID 83706 | 2006-10-20 |
| 1295735801 | Karen Lenore Schumacher | Nurse Practitioner | 2308 N Cole Rd, Ste A, Boise, ID 83704-7361 | 2005-07-26 |
| 1710593363 | Laura Lyn Allen | Nurse Practitioner | 3152 S Bown Way Ste 102, Boise, ID 83706-5456 | 2020-09-18 |
| Find all providers in BOISE | ||||
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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.