ELIZABETH BALLEWEG (NPI# 1295372308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295372308 |
| Entity Type | Individual |
| Full Name | ELIZABETH BALLEWEG |
| Practice Address |
2306 N 31st St Boise ID 83703-5628 |
| Practice Telephone | 4065467469 |
| Mailing Telephone | 4065467469 |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
63144 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2306 N 31ST ST |
| City | BOISE |
| State | ID |
| Zip Code | 83703-5628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386203974 | Dylan Roy | Chiropractor | 5632 W State Street, Boise, ID 83703 | 2019-06-07 |
| 1124476858 | Tidwell Social Work Services and Consulting, Inc. | Community/Behavioral Health | 5999 W. State St., Boise, ID 83703 | 2016-06-03 |
| 1801251244 | Rebecca Lynn Cushing | Massage Therapist | 5909 W. State St, Boise, ID 83703 | 2015-12-30 |
| 1790181675 | Malinda Poe | Counselor | 4440 W Taft St, Boise, ID 83703 | 2014-11-05 |
| 1689079469 | Ashley Harker | Massage Therapist | 5909 W. State St., Boise, ID 83703 | 2014-10-23 |
| 1770987844 | Brick House Recovery | Counselor | 3663 N Lakeharbor Ln, Boise, ID 83703 | 2014-10-17 |
| 1033512538 | Ryan Warburton | Physical Therapist | 2999 N Lakeshore Lane, Ste 120, Boise, ID 83703 | 2014-09-29 |
| 1710386008 | Suzanne Iannaccone | Social Worker | 4090 W State St Ste 221, Boise, ID 83703 | 2014-08-22 |
| 1588092464 | Becky L. Marks | Social Worker | 3858 N. Garden Center Way, Suite 204, Boise, ID 83703 | 2013-10-31 |
| 1700219169 | Pohley Richey | Dietitian, Registered | 6052 W State Street, Boise, ID 83703 | 2013-08-20 |
| Find all providers in zip 83703 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821525452 | Kristin Meshelle Hofmann | Nurse Practitioner | 420 W Main St Ste 206, Boise, ID 83702-7363 | 2017-05-14 |
| 1992237648 | Candice Elaine Adams | Nurse Practitioner | 5108 N Maidstone Way, Boise, ID 83713-1367 | 2017-03-31 |
| 1073522082 | Melanie Ann Nash | Nurse Practitioner | Bvamc 500 Fort St, Boise, ID 83702 | 2006-08-07 |
| 1073123220 | Jemericus LLC | Nurse Practitioner | 800 W Main St Ste 1460, Boise, ID 83702-5983 | 2020-08-03 |
| 1477198190 | Ashley Cora Rose | Nurse Practitioner | 190 E Bannock St, Boise, ID 83712-6241 | 2019-11-18 |
| 1417389628 | James Ryan Farmer | Nurse Practitioner | 500 W Fort St, Boise, ID 83702-4501 | 2013-07-30 |
| 1730432352 | Jessica Lynn Butterfield | Nurse Practitioner | 1055 North Curtis Road, Boise, ID 83706-1309 | 2012-10-19 |
| 1689785172 | Nancy Elizabeth Witman | Nurse Practitioner | 500 W Fort St, Boise, ID 83702-4501 | 2006-08-31 |
| 1467420588 | Janet L Wood | Nurse Practitioner | 500 W Fort St, Boise, ID 83702-4501 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891308094 | Brandon Paul Kruse | Nurse Practitioner | 3345 S Fork Ave, Nampa, ID 83686-4855 | 2020-08-26 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1558986521 | Lisa Kay Stimpson | Nurse Practitioner | 1605 Poen Rd, Kuna, ID 83634-1743 | 2020-06-15 |
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1891264545 | Tina Monique Bossolono-williams | Nurse Practitioner | 1385 Parkview Dr Ste 101, Twin Falls, ID 83301-4084 | 2018-11-23 |
| 1851832695 | Penny Rea | Nurse Practitioner | 5307 Green Valley Pl, Nampa, ID 83686-5790 | 2017-03-13 |
| 1891176798 | Christine Cooper | Nurse Practitioner | 35 W Idaho St, Weiser, ID 83672 | 2015-06-16 |
| 1710316526 | Courtney Melissa Woolston | Nurse Practitioner | 2112 E Franklin Rd, Meridian, ID 83642-9024 | 2013-11-02 |
| 1316034689 | Roberta Lynn Turner | Nurse Practitioner | 500 S. 11th Ave, Suite 303, Pocatello, ID 83201 | 2006-10-06 |
| 1376568493 | Randy Paul Vawdrey | Nurse Practitioner | 495 Yellowstone Ave, Pocatello, ID 83201-4531 | 2006-07-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ELIZABETH BALLEWEG.
| 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.