MS. SUZANNA JOLENE WATERS (NPI# 1275965881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275965881 |
| Entity Type | Individual |
| Full Name | MS. SUZANNA JOLENE WATERS |
| Other Name | MS. SUZANNA JOLENE REED |
| Credential | LCPC |
| Practice Address |
211 16th Ave N Nampa ID 83687-4058 |
| Mailing Address |
3407 N Rhone Pl Star ID 83669-5797 |
| Practice Telephone | 2084677654 |
| Mailing Telephone | 2089942607 |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2017-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LCPC-6424 | ID | Behavioral Health & Social Service Providers |
| 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 |
| 1821396219 | Amanda Jean Davis Gleim | Counselor | 211 16th Ave N, Nampa, ID 83687-4058 | 2011-03-09 |
| 1215190798 | Rochelle Marie Lynam | Physician Assistant | 211 16th Ave N, Nampa, ID 83687-4058 | 2008-07-06 |
| 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 | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592142 | Bruce F. Pagano II | Counselor | 1217 3rd St S Ste 103, Nampa, ID 83651-3917 | 2020-09-11 |
| 1689285892 | Jacob Santhouse | Counselor | 824 17th Ave S Ste 7, Nampa, ID 83651-4781 | 2020-08-11 |
| 1013535145 | Revitalize Consulting Group, Inc. | Counselor | 202 S Midland Blvd, Nampa, ID 83686-2602 | 2020-07-06 |
| 1548828767 | Terry John Legg | Counselor | 16 12th Ave S Ste 110, Nampa, ID 83651-3962 | 2019-06-03 |
| 1154885796 | Rebekah Davis | Counselor | 4 Ogden Ave, Nampa, ID 83651-2371 | 2019-01-28 |
| 1770052821 | Margaret J Hedelius | Counselor | 17 12th Ave S Ste 201, Nampa, ID 83651-3952 | 2018-11-19 |
| 1689158776 | Curtis Mahan Garner | Counselor | 809 Astor Ave, Nampa, ID 83651-6516 | 2018-09-24 |
| 1841798287 | Stephanie Colleen Staats | Counselor | 1811 E Karcher Rd, Nampa, ID 83687-3000 | 2018-01-31 |
| 1780005934 | Brooke Winston | Counselor | 1312 S Edgewater Cir, Suite #4, Nampa, ID 83686-6086 | 2013-12-13 |
| 1346674751 | Kendra Tamar Pettit | Counselor | 1108 W Finch Dr, Nampa, ID 83651-1732 | 2013-08-21 |
| 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.