CYNTHIA MEDRANO (NPI# 1053703504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053703504 |
| Entity Type | Individual |
| Full Name | CYNTHIA MEDRANO |
| Credential | PMHNP, FNP |
| Practice Address |
207 1st St S Nampa ID 83651-3703 |
| Mailing Address |
Po Box 9 Nampa ID 83653-0009 |
| Practice Telephone | 2084667869 |
| Practice Fax Number | 2084665359 |
| Mailing Telephone | 2084617149 |
| Mailing Fax Number | 2084673391 |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
61328 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
61328 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
207 1ST ST S |
| City | NAMPA |
| State | ID |
| Zip Code | 83651-3703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114926136 | Paul E Barrus | Family Medicine | 207 1st St S, Nampa, ID 83651-3703 | 2005-07-20 |
| 1649888454 | Chelsea Chantel Bagby | Pharmacist | 207 1st St S, Nampa, ID 83651-3703 | 2020-07-17 |
| 1306495668 | Rebekah Dunkley | Pharmacist | 207 1st St S, Nampa, ID 83651-3703 | 2019-09-10 |
| 1720542269 | Rachel L Krick | Dietitian, Registered | 207 1st St S, Nampa, ID 83651-3703 | 2019-01-29 |
| 1972079820 | Penny S Mcclain | Nurse Practitioner | 207 1st St S, Nampa, ID 83651-3703 | 2018-10-18 |
| 1902372956 | James J Hunt | Pharmacist | 207 1st St S, Nampa, ID 83651-3703 | 2018-10-17 |
| 1699259044 | Brenda L Lee | Physician Assistant | 207 1st St S, Nampa, ID 83651-3703 | 2018-09-21 |
| 1447734892 | Daniel A Squire | Physician Assistant | 207 1st St S, Nampa, ID 83651-3703 | 2018-09-21 |
| 1235625914 | Duke M Nyarecha | Nurse Practitioner | 207 1st St S, Nampa, ID 83651 | 2018-07-06 |
| 1134610546 | Taylor Rae Postler | Dentist | 207 1st St S, Nampa, ID 83651 | 2018-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376090985 | Stephen Michael Wren | Physician Assistant | 11035 W Karcher Rd, Nampa, ID 83651 | 2016-09-01 |
| 1104203157 | Jeremy Thorson | Social Worker | 456 West Orchard Ave., Apt D305, Nampa, ID 83651 | 2015-04-29 |
| 1134527708 | Community Health Clinics Inc | Clinic/Center | 207 1st Street S, Nampa, ID 83651 | 2014-12-15 |
| 1326455429 | Michelle Murchie | Pharmacist | 175 S. Middleton Rd, Nampa, ID 83651 | 2014-07-21 |
| 1700215373 | Stanley A Gillett | Chiropractor | 107 14th Ave S, Nampa, ID 83651 | 2013-11-04 |
| 1477996205 | James L Fries | Counselor | 847 Park Centre Way, Suite 5, Nampa, ID 83651 | 2013-04-11 |
| 1023367240 | Erin Westfall | Speech-Language Pathologist | 168 Mcclure Avenue, Nampa, ID 83651 | 2012-09-04 |
| 1487949475 | Erik Steven Linn | Family Medicine | 11035 W. Karcher Road, Nampa, ID 83651 | 2011-06-17 |
| 1720398647 | At Your Service Home Health Care LLC | In Home Supportive Care | 321 2nd St S Ste 103, Nampa, ID 83651 | 2010-10-13 |
| 1144544206 | Petra Morrison | Community/Behavioral Health | 1031 W. Sanetta St., Nampa, ID 83651 | 2010-03-18 |
| Find all providers in zip 83651 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760950604 | Scott A Watkins | Nurse Practitioner | 2836 Cougar Ave, Nampa, ID 83687-9107 | 2018-11-08 |
| 1750319422 | Lisa Lawrence | Nurse Practitioner | 207 16th Ave North, Nampa, ID 83653 | 2006-06-29 |
| 1235625914 | Duke M Nyarecha | Nurse Practitioner | 207 1st St S, Nampa, ID 83651 | 2018-07-06 |
| 1639670961 | Scott Campbell | Nurse Practitioner | 207 1st St S, Nampa, ID 83651-3703 | 2018-02-22 |
| 1124338975 | Amanda Ashley Stewart | Nurse Practitioner | 207 1st St S, Nampa, ID 83651-3703 | 2010-10-14 |
| 1669612271 | 5 Peppers Inc. | Nurse Practitioner | 217 W Georgia Ave Ste 120, Nampa, ID 83686-6812 | 2009-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857952 | Lidia Timofeenko Petersen | Nurse Practitioner | 775 Wayne Ave, Pocatello, ID 83201-3718 | 2020-06-29 |
| 1790302594 | Dumu Psychiatry LLC | Nurse Practitioner | 9428 W Fairview Ave, Boise, ID 83704-8101 | 2020-06-29 |
| 1861024689 | Jessica Erin Bringman | Nurse Practitioner | 3624 23rd St, Lewiston, ID 83501-6121 | 2020-02-10 |
| 1528610532 | Shawn Warren | Nurse Practitioner | 755 Lomax St, Idaho Falls, ID 83401-2786 | 2019-07-10 |
| 1104309657 | Brigitta Panther | Nurse Practitioner | 418 W Reese St, Boise, ID 83706-6233 | 2018-09-11 |
| 1659870178 | Mark Mcgrath | Nurse Practitioner | 1309 Ponderosa Dr Ste 103, Sandpoint, ID 83864-8278 | 2018-02-10 |
| 1467855403 | Clint Emmett | Nurse Practitioner | 875 Perimeter Dr # Ms 3140, Moscow, ID 83844-2006 | 2014-10-06 |
| 1639507551 | Jason Martin | Nurse Practitioner | 13734 S 1st E, Idaho Falls, ID 83404-7852 | 2013-10-31 |
| 1881027241 | Colleen R Fleming | Nurse Practitioner | 2025 W Park Place, Ste B, Coeur D Alene, ID 83814-2785 | 2013-08-20 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
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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.