KATHRYN STILL


Address: 802 W Bannock St, Suite 405, Boise, ID 83702-5837
Phone: 2083367341

KATHRYN STILL (NPI# 1144365362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144365362
Entity Type Individual
Full Name KATHRYN STILL
Credential PMHNP
Practice Address 802 W Bannock St
Suite 405
Boise
ID 83702-5837
Practice Telephone 2083367341
Practice Fax Number 2083367342
Mailing Telephone 2083367341
Mailing Fax Number 2083367342
Enumeration Date 2007-02-21
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
NP787 ID Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID REGENCE BLUE SHIELD 000010157784 01
ID BLUE CROSS NPXZ0 01

Other Providers KATHRYN STILL

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1982230397 Kathryn Still Counselor 6343 W 120th Ave Ste 105, Broomfield, CO 80020-3701 2020-03-17

Office Location

Street Address 802 W BANNOCK ST
SUITE 405
City BOISE
State ID
Zip Code 83702-5837

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285779496 Jayne Stevenson Legal Medicine 802 W Bannock St, Suite 405, Boise, ID 83702-5837 2007-02-21

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1508386707 Emp Idaho Nampa, LLC General Acute Care Hospital 350 E Myrtle Street, Suite 100, Boise, ID 83702 2017-06-20
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1750828422 Stephen Pyper Massage Therapist 14089 Main St #100, Boise, ID 83702 2017-01-19
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1336413459 Cheryl Suhr Nurse Practitioner 10840 W Wasdale Dr, Boise, ID 83709-7170 2012-03-07
1679898225 Shawna L Kuehne Nurse Practitioner 1902 Judith Ln Ste 110, Boise, ID 83705-5235 2010-04-06
1841529310 Carolyn Corbett Nurse Practitioner 7280 W Ustick Rd, Suite 101, Boise, ID 83704-5014 2009-12-13
1306089271 Mark A Jepson Nurse Practitioner 1919 W State St, Boise, ID 83702-3958 2009-04-08
1548300924 Gia Swope Nurse Practitioner 13967 W Wainwright Dr, Suite 103, Boise, ID 83713-2094 2007-02-07
1043392756 Satu H. Woodland Nurse Practitioner 3152 S. Bown Way # 102, Boise, ID 83706 2006-10-20
1295735801 Karen Lenore Schumacher Nurse Practitioner 2308 N Cole Rd, Ste A, Boise, ID 83704-7361 2005-07-26
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Competitor

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City BOISE
Zip Code 83702

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Dataset Information

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.

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