MS. MELISSA CAROL DURHAM (NPI# 1184944209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184944209 |
| Entity Type | Individual |
| Full Name | MS. MELISSA CAROL DURHAM |
| Credential | M.S., L.P.C. |
| Practice Address |
1276 W River St Ste 100 Boise ID 83702-7083 |
| Mailing Address |
4636 N Hacienda Ave Boise ID 83703-6425 |
| Practice Telephone | 2083384699 |
| Practice Fax Number | 2083224722 |
| Mailing Telephone | 2082301787 |
| Mailing Fax Number | 2084558622 |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2010-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
4308 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144663279 | Melissa Lynn Durham | Licensed Practical Nurse | 511 Albany Ave, Ogdensburg, NY 13669-2415 | 2013-04-08 |
| 1912161621 | Melissa K Durham | Physical Therapist | 324 W Willow St, 1r, Chicago, IL 60614-5771 | 2008-07-11 |
| 1689861072 | Melissa Jean Durham | Pharmacist | 1985 Zonal Ave., Los Angeles, CA 90033 | 2007-09-28 |
| 1558339218 | Melissa Marylyn Durham | Military Health Care Provider | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2006-03-09 |
| Street Address |
1276 W RIVER ST STE 100 |
| City | BOISE |
| State | ID |
| Zip Code | 83702-7083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285954313 | Shawn Gary Nielsen | Social Worker | 1276 W River St Ste 100, Boise, ID 83702-7083 | 2010-06-11 |
| 1093314734 | Sarah Kimberly Tish | Social Worker | 1276 W River St Ste 100, Boise, ID 83702-7083 | 2020-10-23 |
| 1427676063 | Jennifer Janelle Goodall | Social Worker | 1276 W River St Ste 100, Boise, ID 83702-7083 | 2020-07-09 |
| 1811528540 | Desteni Neilson | Counselor | 1276 W River St Ste 100, Boise, ID 83702-7083 | 2020-01-31 |
| 1962968636 | Brianne M Fagenstrom | Social Worker | 1276 W River St Ste 100, Boise, ID 83702-7083 | 2019-02-18 |
| 1619433703 | Jennifer E Phillips | Nurse Practitioner | 1276 W River St Ste 100, Boise, ID 83702-7083 | 2019-02-14 |
| 1255801205 | John Charles Kuehne Jr. | Counselor | 1276 W River St Ste 100, Boise, ID 83702-7083 | 2018-12-03 |
| 1699267252 | Joshua Echeverria | Social Worker | 1276 W River St Ste 100, Boise, ID 83702-7083 | 2018-05-30 |
| 1457850612 | Kristie Louderbough | Counselor | 1276 W River St Ste 100, Boise, ID 83702-7083 | 2018-02-02 |
| 1205355831 | Christopher Munga Gakwa | Nurse Practitioner | 1276 W River St Ste 100, Boise, ID 83702-7083 | 2017-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172472 | Dynisha Smith | Counselor | 9277 W Shoup Ave, Boise, ID 83709-0557 | 2020-10-22 |
| 1972138485 | Lesha Renee Brandt | Counselor | 7950 Horseshoe Bend Rd, Boise, ID 83714-3809 | 2020-03-04 |
| 1235783564 | Stephanie Therese Breitenstein | Counselor | 4310 W Clark St, Boise, ID 83705-2024 | 2019-07-25 |
| 1124687520 | Something Different Counseling LLC | Counselor | 6126 W State St # 409, Boise, ID 83703-2741 | 2019-06-10 |
| 1548727118 | Elsa Francis Willis | Counselor | 190 E Front St Apt 420, Boise, ID 83702-7316 | 2019-03-01 |
| 1841763778 | Jana Lyn Taylor | Counselor | 2928 S Mayflower Way, Boise, ID 83709-8567 | 2019-01-03 |
| 1417436601 | Laura Burdette | Counselor | 4696 W Overland Rd Ste 168, Boise, ID 83705-2878 | 2018-08-09 |
| 1114405925 | Garrett Price | Counselor | 17917 N Evanton Way, Boise, ID 83714-5524 | 2018-08-02 |
| 1518457332 | Rebecca Lindsey Gonzales | Counselor | 6625 W Holiday Dr, Boise, ID 83709-2023 | 2018-05-16 |
| 1417445461 | Sarah Harris | Counselor | 10020 W Fairview Ave Ste 204, Boise, ID 83704-8571 | 2018-04-25 |
| 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.