MS. NANCY MANN (NPI# 1063405454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063405454 |
| Entity Type | Individual |
| Full Name | MS. NANCY MANN |
| Credential | M.D. |
| Practice Address |
1502 Locust St N Ste 700 Twin Falls ID 83301-4164 |
| Practice Telephone | 2085955095 |
| Mailing Telephone | 2085955095 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2020-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
M-7029 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002601500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497705107 | Nancy M Mann | Counselor | 50 Wilshire Rd, Madison, CT 06443-3350 | 2006-05-11 |
| 1942217476 | Nancy A Mann | Nurse Anesthetist, Certified Registered | 1340 Medical Park Dr, Suite 101, Melbourne, FL 32901-3246 | 2006-08-01 |
| 1710929815 | Nancy Reisman Mann | Physical Medicine & Rehabilitation | 20180 W 12 Mile Rd, Suite 10, Southfield, MI 48076-5412 | 2006-06-12 |
| Street Address |
1502 LOCUST ST N STE 700 |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-4164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790339273 | James Morris Roberts | Physician Assistant | 1502 Locust St N Ste 700, Twin Falls, ID 83301-4164 | 2019-08-01 |
| 1225446180 | Jennifer Speicher Jorgensen | Nurse Practitioner | 1502 Locust St N Ste 700, Twin Falls, ID 83301-4164 | 2014-07-23 |
| 1215195334 | Christopher Adam Eyre | Pediatrics | 1502 Locust St N Ste 700, Twin Falls, ID 83301-4164 | 2008-05-26 |
| 1063681054 | Corinne Bartschi | Nurse Practitioner | 1502 Locust St N Ste 700, Twin Falls, ID 83301 | 2008-02-25 |
| 1114121993 | Jared L Hansen | Pediatrics | 1502 Locust St N Ste 700, Twin Falls, ID 83301-4164 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326124488 | Stephen Allen Meyers | Pediatrics | 2275 W Broadway, Suite G, Idaho Falls, ID 83402 | 2006-10-31 |
| 1972627628 | St Lukes Regional Medical Center | Pediatrics | 100 E Idaho St, Ste 200, Boise, ID 83712-6223 | 2007-03-19 |
| 1407890031 | J Timothy Leavell | Pediatrics | 100 E Idaho St, Suite 200, Boise, ID 83712-6267 | 2006-06-15 |
| City | TWIN FALLS |
| Zip Code | 83301 |
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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.