IDAHO DEPT OF HEALTH & WELFARE ITP REGION 6 (NPI# 1164563508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164563508 |
| Entity Type | Organization |
| Organization Name | IDAHO DEPT OF HEALTH & WELFARE ITP REGION 6 |
| Practice Address |
421 Memorial Dr Pocatello ID 83201-4008 |
| Practice Telephone | 2082347900 |
| Practice Fax Number | 2082366328 |
| Mailing Telephone | 2082347900 |
| Mailing Fax Number | 2082366328 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2013-08-05 |
| Authorized Official Name | MS. MARY J JONES (PROGRAM MANAGER) |
| Authorized Official Telephone | 2083345523 |
| Authorized Official Credential | B.U.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251300000X | Local Education Agency (LEA) | Agencies | ||
| Y | 252Y00000X | Early Intervention Provider Agency | ID | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE SHIELD | 000010019386 | 01 |
| ID | BLUE CROSS OF IDAHO | HW165 | 01 |
| ID | 0028414 | 05 |
| Street Address |
421 MEMORIAL DR |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912046525 | Linda E Carter | Psychiatry & Neurology | 421 Memorial Dr, Pocatello, ID 83201-4008 | 2007-02-06 |
| 1568014066 | Karen Larissa Gonzalez | Social Worker | 421 Memorial Dr, Pocatello, ID 83201-4008 | 2019-07-15 |
| 1548756869 | Bailey Marie Rainey | Developmental Therapist | 421 Memorial Dr, Pocatello, ID 83201-4008 | 2018-07-10 |
| 1235624834 | Rebecca L Wood | Registered Nurse | 421 Memorial Dr, Pocatello, ID 83201-4008 | 2018-06-26 |
| 1144723123 | Danson S. Hall | Physical Therapist | 421 Memorial Dr, Pocatello, ID 83201-4008 | 2018-03-15 |
| 1942656020 | Kyle Hanson | Counselor | 421 Memorial Dr, Pocatello, ID 83201-4008 | 2016-05-09 |
| 1346602430 | William Eckersell | Counselor | 421 Memorial Dr, Pocatello, ID 83201-4008 | 2016-03-28 |
| 1588026553 | Richard Bloxham | Social Worker | 421 Memorial Dr, Pocatello, ID 83201-4008 | 2016-03-28 |
| 1053773952 | Michele Joann Osmond | Counselor | 421 Memorial Dr, Pocatello, ID 83201-4008 | 2016-03-22 |
| 1487016218 | Tonja Knapp | Registered Nurse | 421 Memorial Dr, Pocatello, ID 83201-4008 | 2016-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982239539 | Daesha White | Early Intervention Provider Agency | 555 S Curtis Rd Apt 202, Boise, ID 83705-6420 | 2020-03-04 |
| 1962658500 | Syringa Family Partnership, LLC | Early Intervention Provider Agency | 3650 N Government Way, Suite L, Coeur D Alene, ID 83815-8331 | 2008-08-14 |
Please comment or provide details below to improve the information on IDAHO DEPT OF HEALTH & WELFARE ITP REGION 6.
| 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.