NICOLE DENISE ROTA (NPI# 1265685762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265685762 |
| Entity Type | Individual |
| Full Name | NICOLE DENISE ROTA |
| Credential | PA-C |
| Practice Address |
402 Old State Hwy Cascade ID 83611 |
| Mailing Address |
215 E Hawaii Ave Nampa ID 83686-6011 |
| Practice Telephone | 2083824285 |
| Mailing Telephone | 2084633000 |
| Mailing Fax Number | 2084633044 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2016-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-780 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
402 OLD STATE HWY |
| City | CASCADE |
| State | ID |
| Zip Code | 83611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437221231 | Katherine Farmer | Physical Therapist | 402 Old State Hwy, Cascade, ID 83611 | 2006-11-15 |
| 1124170337 | Gayle Eaton | Social Worker | 402 Old State Hwy, Cascade, ID 83611 | 2007-01-17 |
| 1609940709 | Bradley Wade Gilman | Family Medicine | 402 Old State Hwy, Cascade, ID 83611 | 2006-11-20 |
| 1558434951 | Jamey Mcinally | Physician Assistant | 402 Old State Hwy, Cascade, ID 83611 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861917551 | Skyler Tidd | Physical Therapist | 402 Lake Cascade Parkway, Cascade, ID 83611 | 2017-08-03 |
| 1841686649 | Cascade Dental, PC | Dentist | 839 S Main Street, Cascade, ID 83611 | 2015-04-09 |
| 1952540650 | Cascade School District #422 | Local Education Agency (LEA) | 209 N School Street, Cascade, ID 83611 | 2009-02-19 |
| 1962629527 | Cornerstone Family & Cosmetic Dentistry | Dentist | 220 South Main Street, Cascade, ID 83611 | 2007-04-18 |
| 1760586994 | Cascade Rural Fire Protection District | Ambulance | 109 E Pine, Cascade, ID 83611 | 2006-09-08 |
| 1740270610 | Linda S Guest | Nurse Practitioner | 514 Skyline Drive, Cascade, ID 83611 | 2005-10-24 |
| 1184282170 | Cascade Family Dental | Dentist | 839 S Main St, Cascade, ID 83611 | 2019-06-04 |
| 1356581326 | Two Rivers Dental | Clinic/Center | 220 S Main St, Cascade, ID 83611 | 2009-03-03 |
| 1225305212 | Kurt J Markuson Dmd | Dentist | 839 Main St, Ste1, Cascade, ID 83611-0760 | 2011-11-19 |
| 1740391762 | Watkins Pharmacy Inc | Pharmacy | 104 N Main St, Cascade, ID 83611-0797 | 2006-08-31 |
| Find all providers in zip 83611 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558434951 | Jamey Mcinally | Physician Assistant | 402 Old State Hwy, Cascade, ID 83611 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695792 | Chelsea Dylan Tennent | Physician Assistant | 1666 E Gentlewind St, Boise, ID 83706-5914 | 2020-10-05 |
| 1922615848 | Allison Cluff | Physician Assistant | 1320 Bennett Ave, Burley, ID 83318-2665 | 2020-09-24 |
| 1245846187 | Adam Baker | Physician Assistant | 271 Jefferson St, Blackfoot, ID 83221-1818 | 2020-09-16 |
| 1265045199 | Julia Claire Brodie | Physician Assistant | 2352 N Apple Ln, Pocatello, ID 83204-7231 | 2020-08-29 |
| 1326651035 | Jenna Marie Castillo | Physician Assistant | 150 Taft Ave, Pocatello, ID 83201-5140 | 2020-08-24 |
| 1174148696 | Colton Jason Randall | Physician Assistant | 3885 Orchard Cir, Ammon, ID 83406-4656 | 2020-06-10 |
| 1871114553 | Samantha Tess Goodrich | Physician Assistant | 721 E Lenz St, Boise, ID 83712-7846 | 2020-05-04 |
| 1174164305 | Tessie Mari Mcinnally | Physician Assistant | 3015 E Magic View Dr # 115, Meridian, ID 83642-3743 | 2019-09-29 |
| 1013562305 | Brianna Suzanne Berg | Physician Assistant | 12535 N Fawn Ct, Hayden, ID 83835-8827 | 2019-08-05 |
| 1003376559 | Kodie Thomas | Physician Assistant | 2086 Picket Ln, Emmett, ID 83617-9104 | 2019-03-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NICOLE DENISE ROTA.
| 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.