NICOLE C PACKER (NPI# 1326371766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326371766 |
| Entity Type | Individual |
| Full Name | NICOLE C PACKER |
| Credential | B.S. |
| Practice Address |
1740 E 17th St Suite C Idaho Falls ID 83404-6375 |
| Mailing Address |
5884 Gleneagles Dr Idaho Falls ID 83401-6336 |
| Practice Telephone | 2085241278 |
| Mailing Telephone | 2084037221 |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2020-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1740 E 17TH ST SUITE C |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-6375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861467375 | Manuel Sierra | Psychiatry & Neurology | 1740 E 17th St, Suite A, Idaho Falls, ID 83404-6375 | 2006-02-19 |
| 1215398672 | Bmh, Inc | Family Medicine | 1740 E 17th St, Idaho Falls, ID 83404-6365 | 2016-03-14 |
| 1316312747 | Myria Johnson | Social Worker | 1740 E 17th St, Idaho Falls, ID 83404-6375 | 2015-12-10 |
| 1235503061 | Rachel Kent | Social Worker | 1740 E 17th St, Idaho Falls, ID 83404-6375 | 2015-11-17 |
| 1568833523 | Brianne Cook | Social Worker | 1740 E 17th St, Idaho Falls, ID 83404 | 2015-10-15 |
| 1578954806 | James Karn | Social Worker | 1740 E 17th St, Idaho Falls, ID 83404-6375 | 2015-02-09 |
| 1477974871 | Oryan Rodriguez | Social Worker | 1740 E 17th St, Idaho Falls, ID 83404-6375 | 2014-01-02 |
| 1942635529 | David Newell Chiddix | Social Worker | 1740 E 17th St, Idaho Falls, ID 83404-6375 | 2013-09-13 |
| 1043645740 | Itzel Valencia | Social Worker | 1740 E 17th St, Idaho Falls, ID 83404-6375 | 2013-09-12 |
| 1205261492 | Megan Diane Izatt | Social Worker | 1740 E 17th St, Idaho Falls, ID 83404-6375 | 2013-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750563417 | Aracelli Rodriguez | Case Manager/Care Coordinator | 1820 E 17th St Ste 365, Idaho Falls, ID 83404-6497 | 2007-12-04 |
| 1508077157 | Innovative Health Care Concepts, Inc | Case Manager/Care Coordinator | 790 S Holmes Ave, Idaho Falls, ID 83401-4749 | 2007-05-25 |
| 1346390796 | Riverside Service Group Inc | Case Manager/Care Coordinator | 461 River Pkwy, Idaho Falls, ID 83402-3314 | 2007-01-10 |
| 1265051171 | Brent Holloway | Case Manager/Care Coordinator | 1301 E 17th St, Idaho Falls, ID 83404-6273 | 2020-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104453950 | Shane Robinson | Case Manager/Care Coordinator | 131 W Bridge St, Blackfoot, ID 83221-2704 | 2020-03-23 |
| 1386295517 | Diane Miller | Case Manager/Care Coordinator | 601 N San Juan Way, Boise, ID 83712-6524 | 2019-09-29 |
| 1932631207 | Sarah Louise Price | Case Manager/Care Coordinator | 1018 Briarwood Dr, Nampa, ID 83651-2115 | 2017-03-28 |
| 1184082638 | Sandi Francis | Case Manager/Care Coordinator | 1271 W Quinn Rd, Pocatello, ID 83202-2755 | 2016-01-29 |
| 1093180895 | Melissa Goeckner | Case Manager/Care Coordinator | 233 Gooding St. N, Twin Falls, ID 83301-6179 | 2015-12-04 |
| 1124492863 | Jessica Anne Logan | Case Manager/Care Coordinator | 1522 Michael St, Emmett, ID 83617-9442 | 2015-11-18 |
| 1184016610 | Danica Williams | Case Manager/Care Coordinator | 8644 Mason Lane, Bruneau, ID 89832 | 2015-02-20 |
| 1225433956 | Lori Petersen | Case Manager/Care Coordinator | 518 S 13th St, Coeur D Alene, ID 83814-3919 | 2014-10-23 |
| 1023411121 | Kelly Rodkey | Case Manager/Care Coordinator | 6795 N Mineral Dr, Coeur D Alene, ID 83815-8700 | 2014-10-02 |
| 1467796540 | Susan Marie Amaral | Case Manager/Care Coordinator | 2120 N Lakewood Dr Ste B, Coeur D Alene, ID 83814-2638 | 2012-11-15 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
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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.