JONATHAN ADAR SHECTMAN


Address: 500 W Fort St, Boise, ID 83702-4501
Phone: 2084221000

JONATHAN ADAR SHECTMAN (NPI# 1316558596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316558596
Entity Type Individual
Full Name JONATHAN ADAR SHECTMAN
Credential NP
Practice Address 500 W Fort St
Boise
ID 83702-4501
Mailing Address 500 W Fort St Bldg 45
Boise
ID 83702-4501
Practice Telephone 2084221000
Mailing Telephone 2084221000
Enumeration Date 2020-08-12
Last Update Date 2020-08-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
65063 ID Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 500 W FORT ST
City BOISE
State ID
Zip Code 83702-4501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063411007 Sandra Gee Jue Pharmacist 500 W Fort St, Bldg 44a, Boise, ID 83702-4501 2005-07-20
1952902389 Christine Alice Walsh Recreation Therapist 500 W Fort St, Boise, ID 83702-4501 2020-11-03
1386243160 Elizabeth Larsen Registered Nurse 500 W Fort St, Boise, ID 83702-4598 2020-10-22
1013516293 Rebecca Cotterell Registered Nurse 500 W Fort St, Boise, ID 83702-4501 2020-10-20
1487253670 Morgan Wussow Registered Nurse 500 W Fort St, Boise, ID 83702-4501 2020-10-20
1548867435 Justin Hyer Registered Nurse 500 W Fort St, Boise, ID 83702-4501 2020-10-05
1881209336 Daniel James Councell Physician Assistant 500 W Fort St, Boise, ID 83702-4501 2020-09-11
1508470451 Marcus J Day Registered Nurse 500 W Fort St, Boise, ID 83702-4501 2020-09-08
1386258291 Vanessa Potoski Registered Nurse 500 W Fort St, Boise, ID 83702-4501 2020-09-08
1033723788 Brian Lynn Lambrecht Licensed Practical Nurse 500 W Fort St, Boise, ID 83702-4501 2020-09-01
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881017382 Joniruth Digaum Nurse Practitioner 8040 S Red Cliff Ave, Boise, ID 83716-3466 2014-02-04
1790119238 Illaria C Moore Nurse Practitioner 11050 Montana Ave, Boise, ID 83713-5049 2013-08-31
1851438006 Gregory C Galloway Nurse Practitioner 5440 W Franklin Rd, Suite 100, Boise, ID 83705-1079 2007-01-30
1154436426 Amy Hoffmann Nurse Practitioner 3210 N Mountain View Dr, Boise, ID 83704-4635 2006-08-20
1598774275 Barbara L Irish Nurse Practitioner 1000 N Curtis Road, Suite 305, Boise, ID 83706 2006-08-05
1225020993 April D Southwick Nurse Practitioner 703 S Americana Blvd, Ste 130, Boise, ID 83702-5099 2005-08-18
1336762566 Treasure Valley Healthcare Pllc Nurse Practitioner 5108 N Maidstone Way, Boise, ID 83713-1367 2020-05-21
1902459266 Melissa Adele Wren Perry Nurse Practitioner 300 S 23rd St, Boise, ID 83702-9100 2019-07-16
1144702796 Michelle Ann Mcneley Nurse Practitioner 500 W Fort St, Boise, ID 83702-4599 2018-08-30
1912416413 Heather Ann Stafford Nurse Practitioner 500 W Fort St, Boise, ID 83702-4501 2017-09-27
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Competitor

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City BOISE
Zip Code 83702

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Dataset Information

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.

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