MS. LISA MARCONI (NPI# 1922541515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922541515 |
| Entity Type | Individual |
| Full Name | MS. LISA MARCONI |
| Credential | R.N. |
| Practice Address |
960 S Broadway Ave Suite 505 Boise ID 83706-3600 |
| Practice Telephone | 2087806255 |
| Practice Fax Number | 2087806291 |
| Mailing Telephone | 2087806255 |
| Mailing Fax Number | 2087806291 |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2016-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
N-26683 | ID | Nursing Service Providers |
| Street Address |
960 S BROADWAY AVE SUITE 505 |
| City | BOISE |
| State | ID |
| Zip Code | 83706-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164893657 | Kelsey O'leary | Massage Therapist | 960 S Broadway Ave, Suite 200, Boise, ID 83706-3600 | 2015-10-09 |
| 1710594478 | Katrina Tooman | Physical Therapist | 960 S Broadway Ave, Boise, ID 83706-3600 | 2020-09-28 |
| 1649714163 | Tayler Comley | Physical Therapist | 960 S Broadway Ave, Suite 200, Boise, ID 83706-3600 | 2016-12-19 |
| 1770027765 | Kelly Ragland | Registered Nurse | 960 S Broadway Ave, Suite 505, Boise, ID 83706-3600 | 2016-12-09 |
| 1528502721 | Marcia Jewell | Registered Nurse | 960 S Broadway Ave, Suite 505, Boise, ID 83706-3600 | 2016-12-07 |
| 1861840662 | Julie Dunn | Physical Therapist | 960 S Broadway Ave, Suite 200, Boise, ID 83706-3600 | 2016-06-02 |
| 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 | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669097242 | Beth Pierce | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-06-10 |
| 1912411521 | Joseph Alan Coones | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2017-11-20 |
| 1659884153 | Jennifer Ann Leuck | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2017-11-07 |
| 1770027765 | Kelly Ragland | Registered Nurse | 960 S Broadway Ave, Suite 505, Boise, ID 83706-3600 | 2016-12-09 |
| 1215307418 | Angelica C Gumb | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2015-09-30 |
| 1710357371 | Diane Atkinson | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2015-09-25 |
| 1699144253 | Shannon Hayes | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2015-09-24 |
| 1437528007 | Jodi Lewis | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2015-09-24 |
| 1053530477 | Mary K Stewart | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467924985 | Benchmark Home Health | Registered Nurse | 2098 Gladys Dr., Idaho Falls, ID 83401 | 2018-12-21 |
| 1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
| 1598172785 | Patricia Pilon | Registered Nurse | 4619 N Station Pl, Meridian, ID 83646-5473 | 2014-07-19 |
| 1285029496 | New Horizons Mental Wellness Clinics Pllc | Registered Nurse | 1352 E Center St, Suite A, Pocatello, ID 83201-4734 | 2015-04-03 |
| 1386746162 | Roxanne Ohlund | Registered Nurse | 223 16th Ave N, Nampa, ID 83687-4058 | 2006-09-02 |
Please comment or provide details below to improve the information on MS. LISA MARCONI.
| 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.