KAELY THOMPSON (NPI# 1982211579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982211579 |
| Entity Type | Individual |
| Full Name | KAELY THOMPSON |
| Credential | RN, IBCLC |
| Practice Address |
4389 W Agave St Eagle ID 83616-5308 |
| Practice Telephone | 2086708704 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
L-144124 | ID | Nursing Service Providers |
| Street Address |
4389 W AGAVE ST |
| City | EAGLE |
| State | ID |
| Zip Code | 83616-5308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
| 1861922627 | Nicholas A. Stelzner | Counselor | 2419 W. State St. Suite 8, Boise, ID 83616 | 2017-06-14 |
| 1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
| 1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
| 1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
| 1043552524 | Tori Croshaw | Social Worker | 372 S Eagle Rd Ste 190, Eagle, ID 83616 | 2013-03-21 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1437494457 | Mary Beth Roehling | Nurse Practitioner | 2040 E Hologate Ct, Eagle, ID 83616 | 2012-12-03 |
| Find all providers in zip 83616 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114329174 | Leslie Gwen Gunnerson | Registered Nurse | 678 Stierman Way, Eagle, ID 83616-5132 | 2014-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265056907 | Patricia Lynn Hennequin | Registered Nurse | 2378 Schiller Rd, Emmett, ID 83617-9747 | 2020-05-28 |
| 1396201703 | Elisabeth Capron | Registered Nurse | 430 Crimson Dr, Idaho Falls, ID 83401-3748 | 2019-02-11 |
| 1871945279 | Carrie R Anstrand | Registered Nurse | 207 W Washington St, Boise, ID 83702-5989 | 2016-07-08 |
| 1669837829 | Aneesa Malouf Beutler | Registered Nurse | 74 S Highway 36, Weston, ID 83286-5000 | 2015-12-15 |
| 1548553555 | Erin Alexis Shaw Mccarter | Registered Nurse | 207 W Washington St, Boise, ID 83702-5989 | 2011-05-24 |
Please comment or provide details below to improve the information on KAELY THOMPSON.
| 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.