TRACEY REEVE (NPI# 1174789994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174789994 |
| Entity Type | Individual |
| Full Name | TRACEY REEVE |
| Credential | PA-C |
| Practice Address |
999 N Curtis Rd Suite 415 Boise ID 83706-1334 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2083677676 |
| Practice Fax Number | 2083675595 |
| Mailing Telephone | 2083675170 |
| Mailing Fax Number | 2083675180 |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2014-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA-1159 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA156906 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
999 N CURTIS RD SUITE 415 |
| City | BOISE |
| State | ID |
| Zip Code | 83706-1334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982691598 | Richard W Wilson | Psychiatry & Neurology | 999 N Curtis Rd, Ste 506, Boise, ID 83706-1336 | 2005-09-29 |
| 1477814952 | Eric F Holt | Psychiatry & Neurology | 999 N Curtis Rd, # 502, Boise, ID 83706-1336 | 2012-05-31 |
| 1700164092 | Rhoda E Heaton | Physician Assistant | 999 N Curtis Rd, Suite 415, Boise, ID 83706-1334 | 2011-08-03 |
| 1639403041 | Stefanie Jean Magee | Physician Assistant | 999 N Curtis Rd, Suite 415, Boise, ID 83706-1334 | 2009-10-01 |
| 1851625925 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 999 N Curtis Rd, Suite 102, Boise, ID 83706-1336 | 2009-09-23 |
| 1013168830 | Brian John Hall | Pathology | 999 N Curtis Rd, Ste 117, Boise, ID 83706-1336 | 2008-10-10 |
| 1821261918 | Mark Owen Moore | Pathology | 999 N Curtis Rd, Suite 117, Boise, ID 83706-1336 | 2008-04-09 |
| 1275718595 | Britani Rhea Hill | Surgery | 999 N Curtis Rd, Suite 415, Boise, ID 83706-1334 | 2008-01-05 |
| 1124226378 | D Peter Reedy Md Pa | Neurological Surgery | 999 N Curtis Rd, 307, Boise, ID 83706-1336 | 2007-07-10 |
| 1649478454 | Idaho Dermatologic Surgery & Laser Center Pa | Dermatology | 999 N Curtis Rd, Ste 505, Boise, ID 83706-1336 | 2007-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1891707618 | Brian Keith Lachapelle | Physician Assistant | 6140 W Curtisan, Ste 102, Boise, ID 83704 | 2006-08-12 |
| 1780641530 | Alicia R Borst | Physician Assistant | 3960 W. Wainwright, Boise, ID 83713 | 2006-04-26 |
| 1679090617 | Joel Timothy Mathews | Physician Assistant | 100 E Warm Springs Ave Ste B, Boise, ID 83712-6243 | 2017-08-29 |
| 1073982245 | Kim Wilson | Physician Assistant | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2015-09-17 |
| 1710362710 | Andrew P Swenson | Physician Assistant | 6165 W Emerald, Boise, ID 83704 | 2015-07-21 |
| 1275936981 | Shaylan Pease | Physician Assistant | 6259 W Emerald St, Boise, ID 83704-8731 | 2014-10-08 |
| 1194127472 | Anna Hoskins | Physician Assistant | 1072 N Liberty Street, Ste 201, Boise, ID 83704-8708 | 2014-09-18 |
| 1568891638 | Dominick Valentine | Physician Assistant | 6140 W Curtisian Ave, Suite 102, Boise, ID 83704-8880 | 2013-11-08 |
| 1013342468 | Polina Kokoulina | Physician Assistant | 900 N Liberty St, Ste 101, Boise, ID 83704-8704 | 2013-09-04 |
| Find all providers in BOISE | ||||
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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.