ROCHELLE MARIE LYNAM (NPI# 1215190798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215190798 |
| Entity Type | Individual |
| Full Name | ROCHELLE MARIE LYNAM |
| Other Name | KAY BURNETT |
| Credential | MPH, PA-S |
| Practice Address |
211 16th Ave N Nampa ID 83687-4058 |
| Mailing Address |
Po Box 3002 Longview WA 98632-0302 |
| Practice Telephone | 2084674431 |
| Practice Fax Number | 2084677684 |
| Mailing Telephone | 3604142360 |
| Enumeration Date | 2008-07-06 |
| Last Update Date | 2015-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60049562 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | RAILROAD MEDICARE | P00691526 | 01 |
| OR | 500606345 | 05 | |
| WA | LABOR & INDUSTRIES | 0242920 | 01 |
| WA | 8528598 | 05 |
| Street Address |
211 16TH AVE N |
| City | NAMPA |
| State | ID |
| Zip Code | 83687-4058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366412595 | David T. Foss | Nurse Practitioner | 211 16th Ave N, Nampa, ID 83687-4058 | 2006-01-23 |
| 1457764888 | Hannah Hamilton | Counselor | 211 16th Ave N, Nampa, ID 83687-4058 | 2014-06-03 |
| 1558798785 | Nancy N Byron | Counselor | 211 16th Ave N, Nampa, ID 83687-4058 | 2013-10-02 |
| 1275965881 | Suzanna Jolene Waters | Counselor | 211 16th Ave N, Nampa, ID 83687-4058 | 2013-08-06 |
| 1821396219 | Amanda Jean Davis Gleim | Counselor | 211 16th Ave N, Nampa, ID 83687-4058 | 2011-03-09 |
| 1023148210 | Kedron F.j. Burnett | Physician Assistant | 211 16th Ave N, Nampa, ID 83687-4058 | 2007-03-06 |
| 1649352139 | Scott R Coleman | Physician Assistant | 211 16th Ave N, Nampa, ID 83687-4058 | 2006-10-20 |
| 1598865321 | Sarah L Googe | Family Medicine | 211 16th Ave N, Nampa, ID 83687-4058 | 2006-09-22 |
| 1477560654 | Community Health Clinics Inc | Dentist | 211 16th Ave N, Nampa, ID 83687-4058 | 2006-08-01 |
| 1912956806 | Ralene Wiberg | Family Medicine | 211 16th Ave N, Nampa, ID 83687-4058 | 2006-05-08 |
| Find all providers in the same location | ||||
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811364177 | Ashley Laren Popadics | Physician Assistant | 1510 12th Ave Rd Ste 200, Nampa, ID 83686-6008 | 2015-08-21 |
| 1609204890 | Rachel Sawyer | Physician Assistant | 7405 Wild Horse Way, Nampa, ID 83686-5496 | 2013-10-24 |
| 1437403441 | Rachel Elizabeth Nutting | Physician Assistant | 16459 N Midland Blvd, Nampa, ID 83687-5222 | 2012-10-30 |
| 1578524559 | Janine Marie Franco | Physician Assistant | 1611 12th Ave Rd Ste B, Nampa, ID 83686-6182 | 2006-03-30 |
| 1265950612 | Emily Ann Looze | Physician Assistant | 207 1st St S, Nampa, ID 83651-3703 | 2017-09-06 |
| 1396293288 | Amanda Crisler | Physician Assistant | 824 S Diamond St, Nampa, ID 83686-5960 | 2016-09-20 |
| 1255736781 | Jacob Murgoitio | Physician Assistant | 223 16th Ave N, Nampa, ID 83687-4058 | 2014-10-27 |
| 1407257025 | Lauryn Pyke | Physician Assistant | 353 W Iowa Ave, Nampa, ID 83686-2856 | 2014-09-15 |
| 1679918536 | Joel J Burch | Physician Assistant | 1375 N Happy Valley Rd, Nampa, ID 83687-5280 | 2013-05-06 |
| 1780928580 | William Joseph Short | Physician Assistant | 1031 W Sanetta St, Nampa, ID 83651 | 2012-11-16 |
| 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.