MERRI ANN KING (NPI# 1922506146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922506146 |
Entity Type | Individual |
Full Name | MERRI ANN KING |
Credential | RN CDE |
Practice Address |
267 N Canyon Dr Gooding ID 83330-5500 |
Practice Telephone | 2089344433 |
Practice Fax Number | 2089344433 |
Mailing Telephone | 2089344433 |
Mailing Fax Number | 2087353718 |
Enumeration Date | 2018-01-23 |
Last Update Date | 2018-01-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
N-23187 | ID | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | PART B MEDICARE | 1370131 | 01 |
ID | 1609046671 | 05 |
Street Address |
267 N CANYON DR |
City | GOODING |
State | ID |
Zip Code | 83330-5500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053316786 | Guy Eric Grooms | Specialist | 267 N Canyon Dr, Gooding, ID 83330-5500 | 2005-06-17 |
1841800943 | Charles Bryan Simpson | Emergency Medical Technician, Paramedic | 267 N Canyon Dr, Gooding, ID 83330-5500 | 2020-08-04 |
1619469525 | North Canyon Medical Center, Inc. | Health Educator | 267 N Canyon Dr, Gooding, ID 83330-5500 | 2018-06-06 |
1871098137 | Amanda Paige Braga | Social Worker | 267 N Canyon Dr, Gooding, ID 83330-5500 | 2018-03-28 |
1497259378 | Francisca O Mendez | Health Educator | 267 N Canyon Dr, Gooding, ID 83330-5500 | 2018-03-23 |
1740783125 | Susan A. Ormond | Dietitian, Registered | 267 N Canyon Dr, Gooding, ID 83330-5500 | 2018-03-13 |
1538662895 | Mercedes Diaz | Health Educator | 267 N Canyon Dr, Gooding, ID 83330-5500 | 2018-03-13 |
1255834685 | Rosa Yuriko Saucedo | Nurse's Aide | 267 N Canyon Dr, Gooding, ID 83330-5500 | 2018-03-12 |
1235632662 | Anali Santos | Nurse's Aide | 267 N Canyon Dr, Gooding, ID 83330-5500 | 2018-03-12 |
1083117402 | Tammy Jo Dayley | Technician/Technologist | 267 N Canyon Dr, Gooding, ID 83330-5500 | 2018-03-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346648227 | Erin Orloff | Speech-Language Pathologist | 202 14th St Ave E, Gooding, ID 83330 | 2014-12-09 |
1518377019 | North Canyon Medical Center, Inc. | Clinic/Center | 267 N. Canyon Drive, Gooding, ID 83330 | 2014-05-06 |
1083959332 | Lydia Jo Missal | Counselor | 1832 E. 1750 S., Gooding, ID 83330 | 2012-11-27 |
1013240910 | Marcella Louise Heil | Speech-Language Pathologist | 1735 South 1800 East, Gooding, ID 83330 | 2009-09-09 |
1861561094 | Thomas Ernest Pryor | Family Medicine | 121 5th Ave West, Gooding, ID 83330 | 2006-11-06 |
1942212600 | Marcy Lin Morrow | Physician Assistant | 134 4th Ave W, Gooding Family Physicians, Gooding, ID 83330 | 2006-08-12 |
1174535835 | Ian B Kunz | Physician Assistant | 267 N Canyon Drive, Gooding, ID 83330 | 2006-08-12 |
1326002650 | Associates In Family Practice Pa | Family Medicine | 425 Idaho St, Gooding, ID 83330 | 2006-04-13 |
1497719728 | Mark D Spencer | Family Medicine | 425 Idaho Street, Gooding, ID 83330 | 2006-04-13 |
1871115717 | Megan George | Counselor | 1832 E 1750 S, Gooding, ID 83330 | 2020-05-14 |
Find all providers in zip 83330 |
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 |
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 |
1871042556 | Nancy Dettori | Registered Nurse | 100 Hospital Drive, Ketchum, ID 83340-0100 | 2016-09-23 |
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.