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).
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 |
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 |
Street Address |
500 W FORT ST |
City | BOISE |
State | ID |
Zip Code | 83702-4501 |
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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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 |
Find all providers in zip 83702 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
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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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.