KOOTENAI KIDS PEDIATRICS PLLC (NPI# 1053675629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053675629 |
| Entity Type | Organization |
| Organization Name | KOOTENAI KIDS PEDIATRICS PLLC |
| Practice Address |
761 N Thornton St Ste A Post Falls ID 83854-6105 |
| Practice Telephone | 2087735437 |
| Mailing Telephone | 2087735437 |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2012-06-28 |
| Authorized Official Name | DR. KENNETH AKEY (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 2087735437 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
761 N THORNTON ST STE A |
| City | POST FALLS |
| State | ID |
| Zip Code | 83854-6105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477705523 | Kristine I Mitchell | Counselor | 761 N Thornton St, Suite C, Post Falls, ID 83854-6105 | 2008-10-21 |
| 1093025330 | Longevity Chiropractic Pllc | Chiropractor | 761 N Thornton St, Suite A, Post Falls, ID 83854-6105 | 2010-10-20 |
| 1578877692 | Brett Davis | Chiropractor | 761 N Thornton St, Ste. A, Post Falls, ID 83854-6105 | 2010-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264032 | Esteem Counseling, LLC | Counselor | 1404 North Marcasite Court, Post Falls, ID 83854 | 2020-08-07 |
| 1497376685 | Teresa Marie Ragan | Registered Nurse | 1551 E Mullan Ave Bldg A, Ste 200b, Post Falls, ID 83854 | 2020-04-29 |
| 1245792910 | Samantha Patricia Bourassa | Specialist/Technologist | 2832 E Poleline Ave, Post Falls, ID 83854 | 2019-04-02 |
| 1003392598 | Joshua Welz | Psychologist | 3211 N Guinness Ln Apt 201, Post Falls, ID 83854 | 2018-07-17 |
| 1639608094 | Anthony Leodis Walls Jr. | Specialist/Technologist | 8732 N Meyer Rd, Post Falls, ID 83854 | 2017-06-08 |
| 1831635911 | Glenda Felts | Social Worker | 8561 N Cloverleaf Rd, # 22, Hauser, ID 83854 | 2017-01-12 |
| 1144763467 | Rachel M. Pope | Behavioral Analyst | 204 E 1st Ave Apt 4, Post Falls, ID 83854 | 2016-11-18 |
| 1871960393 | Randy Robinson | Massage Therapist | 2525 E Seltice Way Ste C, Post Falls, ID 83854 | 2015-09-01 |
| 1194112375 | James Bailey | Family Medicine | 185 W 4th Ave Ste B, Post Falls, ID 83854 | 2015-04-24 |
| 1033534953 | Lauren Tandy | Speech-Language Pathologist | 398 S. Corbin Rd., Post Falls, ID 83854 | 2014-02-28 |
| Find all providers in zip 83854 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285797241 | Roger W. Boe | Pediatrics | 405 W Whitman St, Pocatello, ID 83204-3317 | 2006-12-19 |
| 1184738700 | Christian Carter Yost | Pediatrics | 950 Hospital Way Ste A, Pocatello, ID 83201-2762 | 2006-08-19 |
| 1437151446 | Matthew Ayers Murdoch | Pediatrics | 1151 Hospital Way, Building F, Pocatello, ID 83201-5091 | 2005-08-10 |
| 1255621793 | Mitchael Conrad Steorts | Pediatrics | 2375 Coronado St, Idaho Falls, ID 83404-7407 | 2011-04-18 |
| 1912223959 | Cindy Elizabeth Parsons | Pediatrics | 1151 Hospital Way, Bldg F, Pocatello, ID 83201 | 2010-04-15 |
| 1861681611 | Steven Alan Smith | Pediatrics | 6348 W Emerald St, Boise, ID 83704-8732 | 2007-10-17 |
| 1366560971 | Idaho Falls Pediatrics | Pediatrics | 2375 Coronado St, Idaho Falls, ID 83404-7407 | 2007-03-26 |
| 1003975087 | Lakeside Pediatric & Adolescent Medicine, Pllc | Pediatrics | 980 W Ironwood Dr, Ste 302, Coeur D'alene, ID 83814-2601 | 2006-12-06 |
| 1962516583 | Gentry C Yost | Pediatrics | 1151 Hospital Way, Building F, Pocatello, ID 83201-5091 | 2006-08-19 |
| 1114954179 | Sandpoint Pediatrics LLP | Pediatrics | 420 N 2nd Ave, 100, Sandpoint, ID 83864-1552 | 2006-06-27 |
| Find all providers with the same taxonomy | ||||
| City | POST FALLS |
| Zip Code | 83854 |
Please comment or provide details below to improve the information on KOOTENAI KIDS PEDIATRICS PLLC.
| 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.