CARMEN M UNDERWOOD (NPI# 1962712216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962712216 |
| Entity Type | Individual |
| Full Name | CARMEN M UNDERWOOD |
| Credential | RT |
| Practice Address |
5510 Roundup St Boise ID 83709-6461 |
| Practice Telephone | 2084220600 |
| Mailing Telephone | 2084220600 |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2010-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ARRT | 273584 | 01 |
| Street Address |
5510 ROUNDUP ST |
| City | BOISE |
| State | ID |
| Zip Code | 83709-6461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619287968 | Michael L Gurr | Radiologic Technologist | 5510 Roundup St, Boise, ID 83709-6461 | 2010-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655398 | Jayme Rossow | Occupational Therapist | 101 S. Allumbaugh Way, Boise, ID 83709 | 2020-10-05 |
| 1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
| 1164080164 | Elena Stamm | Audiologist | 10000 W Amity Rd, Boise, ID 83709 | 2019-06-04 |
| 1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
| 1457879975 | Mark Aaron Phelan | Registered Nurse | 779 S. Tennyson Way, Boise, ID 83709 | 2017-09-05 |
| 1235665290 | Sharon Nelson | Dietitian, Registered | 2790 S Goshen Way, Boise, ID 83709 | 2017-05-11 |
| 1982139622 | First Choice Healthcare, Inc. | Home Health | 12400 W. Overland Rd., Ste 100, Boise, ID 83709 | 2017-05-01 |
| 1801320254 | Deborah Carson | Social Worker | 8349 West Harmonica Way, Boise, ID 83709 | 2017-04-12 |
| 1114479862 | Allyson Anne Bates | Nurse Practitioner | 10583 W Lake Hazel Road, Samg Family Medicine, Boise, ID 83709 | 2016-10-28 |
| 1508221391 | Elisha L. Garrison | Counselor | 9196 W. Barnes Street, Boise, ID 83709 | 2015-12-21 |
| Find all providers in zip 83709 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619287968 | Michael L Gurr | Radiologic Technologist | 5510 Roundup St, Boise, ID 83709-6461 | 2010-10-19 |
| 1679801831 | Helen Ahern | Radiologic Technologist | 2399 S Orchard St, Suite 202a, Boise, ID 83705-3793 | 2009-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720483530 | Nathan Alan Banner | Radiologic Technologist | 1800 N Summer Rose St, Post Falls, ID 83854-6003 | 2014-10-23 |
| 1659772143 | Geri Vialpando | Radiologic Technologist | 4923 Sheppard St, Chubbuck, ID 83202-2540 | 2014-09-16 |
| 1821280371 | Mountain Telerad, Pllc | Radiologic Technologist | 4519 Enterprise Way, Caldwell, ID 83605 | 2007-08-17 |
| 1871887141 | Curtis R Robinson | Radiologic Technologist | 1501 Hiland Ave, Medical Imaging Department, Burley, ID 83318-2682 | 2011-06-04 |
| 1558457721 | David J Ochoa | Radiologic Technologist | 1115 B Street, Benewah Medical Center, Plummer, ID 83851 | 2006-10-05 |
| 1497846240 | Andrea Renee Bentz | Radiologic Technologist | 111 Bever Grade, Nimiipuu Health, Lapwai, ID 83540 | 2006-09-27 |
| 1235143728 | James Lewis Collier | Radiologic Technologist | 111 Bever Grade, Lapwai, ID 83540 | 2006-07-28 |
Please comment or provide details below to improve the information on CARMEN M UNDERWOOD.
| 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.