DIANA L KOTTKEY


Address: 215 10th St, Lewiston, ID 83501-1912
Phone: 2087993100

DIANA L KOTTKEY (NPI# 1164441473) 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) 1164441473
Entity Type Individual
Full Name DIANA L KOTTKEY
Other Name DIANA L KOTTKEY
Credential NP
Practice Address 215 10th St
Lewiston
ID 83501-1912
Practice Telephone 2087993100
Practice Fax Number 2087990349
Mailing Telephone 2087993100
Mailing Fax Number 2087990349
Enumeration Date 2006-07-18
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
NP152A ID Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID DEA NUMBER MK0371221 01

Office Location

Street Address 215 10TH ST
City LEWISTON
State ID
Zip Code 83501-1912

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013936541 Susan P Stutzman Nurse Practitioner 215 10th St, Lewiston, ID 83501-1912 2006-07-18
1881228781 Connie Spears Registered Nurse 215 10th St, Lewiston, ID 83501-1910 2020-02-28
1003440082 Snake River Community Clinic Registered Nurse 215 10th St, Lewiston, ID 83501-1910 2020-02-27
1508369745 Kayla Sprenger Health Educator 215 10th St, Lewiston, ID 83501-1910 2018-03-14
1497258636 Jennifer Weber Health Educator 215 10th St, Lewiston, ID 83501-1910 2018-03-14
1215177993 North Central District Health Department Public Health or Welfare 215 10th St, Lewiston, ID 83501-1910 2009-02-20
1487776159 Id Dept of Health & Welfare Cshp (hd2) Pediatrics 215 10th St, Lewiston, ID 83501-1910 2007-04-04
1841210820 Patricia A Urquhart Nurse Practitioner 215 10th St, Lewiston, ID 83501 2006-07-20
1154341196 Mona M Davis Nurse Practitioner 215 10th St, Lewiston, ID 83501-1912 2006-07-20
1225057813 North Central District Health Department Nurse Practitioner 215 10th St, Lewiston, ID 83501-1912 2006-07-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679193759 Jacqueline M Aldrich Behavior Technician 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 2020-04-20
1295228054 Provident Foundation - Wedgewood Terrace LLC Alzheimer Center (Dementia Center) 2114 Vineyard Avenue, Lewiston, ID 83501 2018-06-07
1164945325 Xiaofei Liu Massage Therapist 234 Thain Rd, Lewiston, ID 83501 2017-07-19
1467909879 Sharon Thulon Registered Nurse 1118 F Street, Lewiston, ID 83501 2016-09-01
1821459496 Gem State Endoscopy Clinic/Center 3709 14th Street, Lewiston, ID 83501 2016-03-10
1508264995 Gary L. Grogan Psychologist 633 Main Street, B#1, Lewiston, ID 83501 2014-12-17
1003189366 John Joseph Johnson Dentist 3510 12th Street, Suite #600, Lewiston, ID 83501 2012-02-17
1306134077 Rowena Kathryn Jackson Counselor 531 Bryden Avenue, Lewiston, ID 83501 2011-07-15
1912290388 Staci Leanne Truby Massage Therapist 717 'd' Street, Lewiston, ID 83501 2011-05-18
1093040685 Sharie Ann Uhlorn Registered Nurse 1837 Alder Court, Lewiston, ID 83501 2009-10-15
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831746239 Amanda Adams Nurse Practitioner 5226 Walmore Rd, Lewiston, NY 14092-9733 2019-08-20
1891258182 Tamara Dawn Demean Nurse Practitioner 1331 G St, Lewiston, ID 83501-1964 2019-04-12
1518436450 Sokharath Keller Nurse Practitioner 12 High St Ste 302, Lewiston, ME 04240-7690 2018-11-21
1982170403 Sara Denoncourt Nurse Practitioner 99 Campus Ave Ste 301, Lewiston, ME 04240-6045 2018-10-23
1659877637 Donna Poirier Nurse Practitioner 733 Center St, Lewiston, NY 14092-1705 2018-03-30
1972013852 Katelyn Marie Rock Nurse Practitioner 10 High St Ste 305, Lewiston, ME 04240-7656 2017-10-05
1518327576 Lauren Blais Nurse Practitioner 77 Bates St Ste 201, Lewiston, ME 04240-7637 2016-03-03
1073983748 Tracy Streibick Flynn Nurse Practitioner 500 8th Ave Rm 205, Lewiston, ID 83501-2691 2015-10-06
1679963284 Amy Lynette Larson Nurse Practitioner 338 6th St # 101, Lewiston, ID 83501-2420 2015-02-03
1679989222 Stephanie Mellen Nurse Practitioner 330 Sabattus St Ste B, Lewiston, ME 04240-5553 2014-07-03
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Competitor

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City LEWISTON
Zip Code 83501

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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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