NICHOLAS ANDERSON (NPI# 1093281016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093281016 |
| Entity Type | Individual |
| Full Name | NICHOLAS ANDERSON |
| Credential | PA-C |
| Practice Address |
315 E Elm Ste 100 Caldwell ID 83605 |
| Mailing Address |
3340 E Goldstone Dr Meridian ID 83642 |
| Practice Telephone | 2083027100 |
| Practice Fax Number | 2083027155 |
| Mailing Telephone | 2083027100 |
| Mailing Fax Number | 2083027155 |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2019-11-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-1788 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 11004976-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA190383 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720450638 | Nicholas Anderson | Psychologist | 2901 S Sepulveda Blvd Apt 206, Los Angeles, CA 90064-3946 | 2015-10-30 |
| 1700269693 | Nicholas Reed Anderson | Emergency Medical Technician, Basic | 24095 Marathon St, Mission Viejo, CA 92691-3803 | 2015-07-09 |
| 1295046712 | Nicholas Robert Anderson | Physical Medicine & Rehabilitation | 121 Cahill Rd Suite 206, Branson, MO 65616 | 2010-06-30 |
| 1669094108 | Nicholas E Anderson | Student in an Organized Health Care Education/Training Program | 603 S Chestnut St, Ellensburg, WA 98926-3875 | 2020-05-06 |
| 1679100408 | Nicholas Beecher Anderson | Student in an Organized Health Care Education/Training Program | 7450 Hospital Dr Ste 4500, Dublin, OH 43016-9693 | 2020-03-23 |
| 1396378519 | Nicholas Kent Anderson | Pharmacist | 1895 E Fire Tower Rd, Greenville, NC 27858-4132 | 2020-02-17 |
| 1962041301 | Nicholas C Anderson | Physical Therapy Assistant | 1700 Keystone Pacific Pkwy, Patterson, CA 95363-8874 | 2020-01-02 |
| 1740827229 | Nicholas A Anderson | Counselor | 8 Kilburn St, New Bedford, MA 02740-7321 | 2019-12-04 |
| 1700443777 | Nicholas Wilson Anderson | Family Medicine | 98-1005 Moanalua Rd Spc 3030, Aiea, HI 96701-4735 | 2019-05-24 |
| 1366976409 | Nicholas L Anderson | Pediatrics | 130 2nd St, Neenah, WI 54956-2883 | 2017-04-15 |
| Street Address |
315 E ELM STE 100 |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144209248 | Paul William Fleenor | Pediatrics | 315 E Elm, Ste 100, Caldwell, ID 83605-4858 | 2006-01-17 |
| 1841604089 | Jared Thompson | Pediatrics | 315 E Elm, Ste 100, Caldwell, ID 83605 | 2014-06-16 |
| 1235541699 | Lindsay Kaye Orme | Family Medicine | 315 E Elm, Ste 100, Caldwell, ID 83605 | 2014-05-20 |
| 1649610528 | Brenton David Baldwin | Family Medicine | 315 E Elm, Ste 100, Caldwell, ID 83605 | 2013-06-25 |
| 1740596873 | James Masayoshi Miyazaki | Nurse Practitioner | 315 E Elm, Ste 100, Caldwell, ID 83605 | 2010-08-26 |
| 1144299678 | Natasha Miller | Pediatrics | 315 E Elm, Ste 100, Caldwell, ID 83605-4858 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| Find all providers in zip 83605 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1417376229 | Anthony Frederick Bushnell | Physician Assistant | 315 East Elm, Ste 100, Caldwell, ID 83605 | 2014-04-09 |
| 1124056189 | Kimberly Allison Glidewell | Physician Assistant | 912 Lorey Ln, Caldwell, TX 77836-1359 | 2006-06-29 |
| 1194761536 | Janet E Mitchell | Physician Assistant | 4521 Thomas Jefferson St, Caldwell, ID 83605-5100 | 2006-06-22 |
| 1811987076 | Erin L Proctor | Physician Assistant | 315 E. Elm Ste. 100, Caldwell, ID 83605-4858 | 2005-10-27 |
| 1417581869 | Anne Crowl | Physician Assistant | 2523 S 10th Ave Ste 103, Caldwell, ID 83605-6760 | 2020-02-25 |
| 1710537964 | Donald E Sanford Jr. | Physician Assistant | 4815 Cleveland Blvd, Caldwell, ID 83605-6501 | 2019-09-18 |
| 1275007965 | Ronnie Bryon Isaacson | Physician Assistant | 2609 S 10th Ave, Caldwell, ID 83605-6816 | 2019-01-15 |
| 1174038798 | Andrew Don Mcmurray | Physician Assistant | 4815 Cleveland Blvd, Caldwell, ID 83605-6501 | 2017-12-05 |
| 1962932343 | Derek Carl Bronson | Physician Assistant | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2017-06-18 |
| Find all providers in CALDWELL | ||||
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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.