Caitlin E Anderson
ST LUKES CLINIC-TREASURE VALLEY LLC


Address: 333 N 1st St, Suite 280, Boise, ID 83702-6132
Phone: 2083456545

Caitlin E Anderson (NPI# 1275031940, PAC ID# 3274896592) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1275031940
PAC ID by PECOS 3274896592
Professional Enrollment ID I20180418002015
Full Name Caitlin E Anderson
Organization Legal Name ST LUKES CLINIC-TREASURE VALLEY LLC
Address 333 N 1st St
Suite 280
Boise
ID 83702-6132
Phone Number 2083456545
Gender F
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 4981878402
Number of Group Practice Members 770
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
130006 ST LUKE'S REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
333 N 1st St, Suite 280, Boise, ID 83702-6132 2083456545 ST LUKES CLINIC-TREASURE VALLEY LLC

Organization Information

Organization Legal Name ST LUKES CLINIC-TREASURE VALLEY LLC
Physicians 831

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Alex Mari Tanabe Internal Medicine St Lukes Clinic-treasure Valley LLC 600 N Robbins Rd, Boise, ID 83702-4565
Jessica J Carpenter Clinical Social Worker St Lukes Clinic-treasure Valley LLC 1620 S Kimball Ave, Caldwell, ID 83605-4547
Whitney B Conrad Nurse Practitioner St Lukes Clinic-treasure Valley LLC 1226 W River St, Boise, ID 83702-7049
Megan D Larson Nurse Practitioner St Lukes Clinic-treasure Valley LLC 287 W Jefferson St, Boise, ID 83702-6045
Bonnie M Reed Family Medicine St Lukes Clinic-treasure Valley LLC 3090 E Gentry Way, Suite 200, Meridian, ID 83642-3550
Scott J Chyna Clinical Social Worker St Lukes Clinic-treasure Valley LLC 703 S Americana Blvd, Suite 150, Boise, ID 83702-4976
Sarah J Mooseau Qualified Audiologist St Lukes Clinic-treasure Valley LLC 510 N 2nd St, Suite 201, Boise, ID 83702-6078
Nitya Alluri Hematology St Lukes Clinic-treasure Valley LLC 100 E Idaho St, Suite 302, Boise, ID 83712-6269

Office Location

Street Address 333 N 1ST ST
SUITE 280
City BOISE
State ID
Zip 83702-6132

Physicians in the same location

Name Specialty Organization Address
Maryalice Lopez Obstetrics/gynecology Women's Health Associates, Pllc 333 N 1st St, Suite 240, Boise, ID 83702-6132
Kylie M Cooper Obstetrics/gynecology St Lukes Clinic-treasure Valley LLC 333 N 1st St, Suite 150, Boise, ID 83702-6135
Kathleen Anneke Physician Assistant Women's Health Associates, Pllc 333 N 1st St, Suite 240, Boise, ID 83702-6132
Lori M Ruman Nurse Practitioner Women's Health Associates, Pllc 333 N 1st St, Suite 240, Boise, ID 83702-6132
Angela M Latta Nurse Practitioner Glen S Lovelace Md Pa 333 N 1st St, Suite 260, Boise, ID 83702-6132
Kelly L Siudzinski Obstetrics/gynecology Women's Health Associates, Pllc 333 N 1st St, Suite 240, Boise, ID 83702-6132
Tara L Erbele Family Medicine Women's Health Associates, Pllc 333 N 1st St, Suite 240, Boise, ID 83702-6132
Laura E Tedrick Obstetrics/gynecology Women's Health Associates, Pllc 333 N 1st St, Suite 240, Boise, ID 83702-6132
Tracy L Johnston Nurse Practitioner St Lukes Clinic-treasure Valley LLC 333 N 1st St, Suite 110, Boise, ID 83702-6115
Jacqueline M Maybach Obstetrics/gynecology Women's Health Associates, Pllc 333 N 1st St, Suite 240, Boise, ID 83702-6132
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David A Teed Clinical Social Worker 1407 N 13th St, Boise, ID 83702-3531
Martha Ann Stacy Psychologist, Clinical 1718 W Jefferson St, Boise, ID 83702-3949
Renee Ours Bild Clinical Social Worker 1718 W Jefferson St, Boise, ID 83702-3949
Amber L Simonson Optometry Ada Vision Center Pa 1926 W State St, Boise, ID 83702-3957
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Competitor

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City BOISE
Zip Code 83702
Specialty NURSE PRACTITIONER
City + Specialty BOISE + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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