CHRISTINE DICKENS (NPI# 1164673877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164673877 |
| Entity Type | Individual |
| Full Name | CHRISTINE DICKENS |
| Credential | OT |
| Practice Address |
16171 N Brinson St Nampa ID 83687-5509 |
| Practice Telephone | 2084422525 |
| Practice Fax Number | 2084422505 |
| Mailing Telephone | 2084422525 |
| Mailing Fax Number | 2084422505 |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2015-08-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | OT-663 | ID | Other Service Providers |
| Street Address |
16171 N BRINSON ST |
| City | NAMPA |
| State | ID |
| Zip Code | 83687-5509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926816 | Tyler James Holloway | Occupational Therapist | 16171 N Brinson St, Nampa, ID 83687-5509 | 2020-09-09 |
| 1871027987 | Megan Grace Ellis | Occupational Therapist | 16171 N Brinson St, Nampa, ID 83687-5509 | 2017-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307447 | Current Physical Therapy Nampa LLC | Physical Therapist | 16150 N High Desert Street, Nampa, ID 83687 | 2020-02-10 |
| 1356867683 | Nampa of Cascadia, LLC | Skilled Nursing Facility | 900 North Happy Valley Rd, Nampa, ID 83687 | 2017-08-18 |
| 1750828513 | Daniel & Max, LLC | Optometrist | 1600 Karcher Rd, Nampa, ID 83687 | 2017-01-31 |
| 1578965422 | Jorge Domingo Reyes | Counselor | 5700 E. Franklin Rd., Suite 220-i, Nampa, ID 83687 | 2014-09-23 |
| 1619302080 | David Lyle Farris | Dentist | 16548 North Franklin Blvd., Nampa, ID 83687 | 2013-09-04 |
| 1871934547 | Ian Zafar Qureshi | Internal Medicine | 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 | 2013-07-10 |
| 1457696783 | Laurel Evans | Specialist/Technologist | 850 W. St. Luke's Dr., Suite 215, Nampa, ID 83687 | 2012-11-27 |
| 1750641197 | Andrea Patricia Fitzer | Nurse Practitioner | 4400 E. Flamingo Ave, Nampa, ID 83687 | 2012-05-18 |
| 1679846182 | Ivony Case Management | Case Management | 811 12th Street, Ste. 2, Nampa, ID 83687 | 2012-02-14 |
| 1699043679 | Saltzer Medical Group, P.a. | Durable Medical Equipment & Medical Supplies | 9850 W St Lukes Drive, Nampa, ID 83687 | 2011-12-06 |
| Find all providers in zip 83687 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462197 | Two Rivers Myofunctional Therapy LLC | Specialist | 635 W Cedar Pointe Way, Nampa, ID 83686-5582 | 2020-06-17 |
| 1053574137 | Robert James Douglas | Specialist | 13865 Locust Ln, Nampa, ID 83686-9367 | 2008-07-08 |
| 1275759441 | Idaho Sleep Services, LLC | Specialist | 210 Georgia Ave, Ste 120, Nampa, ID 83686 | 2007-04-17 |
| 1598811945 | Idaho Urology Clinic, P.a. | Specialist | 1613 12th Ave Rd Ste B, Nampa, ID 83686-6183 | 2007-01-26 |
| 1952493249 | Wmcesa | Specialist | 1603 12th Ave. Rd, Ste. B, Nampa, ID 83686 | 2006-09-28 |
| 1649372418 | Stacie L Waite | Specialist | 337 W Iowa Ave, Nampa, ID 83686-2856 | 2006-09-02 |
| 1740213743 | Gregory Schaefer | Specialist | 1603 12th Ave Rd, Ste B, Nampa, ID 83686-7712 | 2006-07-10 |
| 1801834866 | Gary Ned Gregerson | Specialist | 1611 12th Ave Rd, Suite A, Nampa, ID 83686-7715 | 2006-06-03 |
| 1710981162 | Wilfred E Watkins | Specialist | 1613 12th Ave Rd, Ste B, Nampa, ID 83686-6183 | 2005-06-13 |
| 1083073902 | Angie Hendrix | Specialist | 823 Parkcentre Way, Nampa, ID 83651-1783 | 2016-02-19 |
| Find all providers in NAMPA | ||||
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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.