KRISTI LYNN MALICOAT (NPI# 1013232834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013232834 |
| Entity Type | Individual |
| Full Name | KRISTI LYNN MALICOAT |
| Credential | LPN |
| Practice Address |
23220 River Rd Grand View ID 83624-5009 |
| Mailing Address |
Po Box 632 Grand View ID 83624-0632 |
| Practice Telephone | 2088342860 |
| Mailing Telephone | 2088342860 |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2011-05-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | LPN11423 | NV | Nursing Service Providers |
| N | 164W00000X | Licensed Practical Nurse | 27036628A | IN | Nursing Service Providers |
| Y | 164W00000X | Licensed Practical Nurse | PN-12009 | ID | Nursing Service Providers |
| N | 164W00000X | Licensed Practical Nurse | 200930022LPN | OR | Nursing Service Providers |
| N | 164X00000X | Licensed Vocational Nurse | VN249377 | CA | Nursing Service Providers |
| Street Address |
23220 RIVER RD |
| City | GRAND VIEW |
| State | ID |
| Zip Code | 83624-5009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710157128 | Bruneau-grand View Jt. School District #365 | Local Education Agency (LEA) | 660 Boise Avenue, Grand View, ID 83624 | 2008-03-03 |
| 1972633949 | Glenns Ferry Health Center, Inc. | Clinic/Center | 350 Main St., Grand View, ID 83624 | 2007-03-07 |
| 1558632778 | Terrence Schwartz | Physician Assistant | 350 Main Street, Grand View, ID 83624 | 2012-01-19 |
| 1487821039 | Arlene Shank | Licensed Vocational Nurse | 255 5th St, Grand View, ID 83624-0153 | 2008-05-13 |
| 1720257272 | Grand View Ambulance-rimrock Searech and Rescue, Inc | Ambulance | 720 Roosevelt Ave, Grand View, ID 83624-5079 | 2008-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841448750 | Concentra Health Services, Inc. | Clinic/Center | 12220 A S Blueridge Blvd., Grand View, MO 64030 | 2008-09-04 |
| 1487821039 | Arlene Shank | Licensed Vocational Nurse | 255 5th St, Grand View, ID 83624-0153 | 2008-05-13 |
| 1710157128 | Bruneau-grand View Jt. School District #365 | Local Education Agency (LEA) | 660 Boise Avenue, Grand View, ID 83624 | 2008-03-03 |
| 1720257272 | Grand View Ambulance-rimrock Searech and Rescue, Inc | Ambulance | 720 Roosevelt Ave, Grand View, ID 83624-5079 | 2008-02-28 |
| 1972633949 | Glenns Ferry Health Center, Inc. | Clinic/Center | 350 Main St., Grand View, ID 83624 | 2007-03-07 |
| 1558632778 | Terrence Schwartz | Physician Assistant | 350 Main Street, Grand View, ID 83624 | 2012-01-19 |
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267266 | Mary Laree Kenworthy | Licensed Practical Nurse | 500 W Fort St Bldg 88, Boise, ID 83702-4598 | 2020-08-31 |
| 1457974669 | Marcey Louise Waugh | Licensed Practical Nurse | 500 W Fort St Bldg 124, Boise, ID 83702-4501 | 2020-05-21 |
| 1740801364 | Xochitl Hodgson | Licensed Practical Nurse | 28 Creekside Ln, Hope, ID 83836-9641 | 2020-05-05 |
| 1841712049 | Caitlinn Kuuipo Tanaka | Licensed Practical Nurse | 4835 Trent St, Chubbuck, ID 83202-2955 | 2017-07-10 |
| 1992154538 | Carolyn Blasch | Licensed Practical Nurse | 3912 Sage Creek Dr, Boise, ID 83714-5502 | 2016-06-05 |
| 1841671716 | Victoria Hamrick | Licensed Practical Nurse | 64 N Elijah Dr, Nampa, ID 83651-2209 | 2015-06-16 |
| 1679951545 | Steven Miranda | Licensed Practical Nurse | 1471 Mountain View Ln Apt 4, Idaho Falls, ID 83402-1861 | 2015-05-12 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| 1952700478 | Tiana Hernandez | Licensed Practical Nurse | 86 S Rolling Green St, Nampa, ID 83687-8921 | 2014-08-20 |
| 1326464991 | Michael Deschene Jr. | Licensed Practical Nurse | 641 E Wild Lilac St, Kuna, ID 83634-2388 | 2014-03-06 |
| Find all providers with the same taxonomy | ||||
| City | GRAND VIEW |
| Zip Code | 83624 |
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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.