KELSI WOODBURN (NPI# 1326421520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326421520 |
| Entity Type | Individual |
| Full Name | KELSI WOODBURN |
| Credential | LPC, NCC |
| Practice Address |
2609 S 10th Ave Ste. 102 Caldwell ID 83605-6816 |
| Practice Telephone | 2084542766 |
| Practice Fax Number | 2084542726 |
| Mailing Telephone | 2084542766 |
| Mailing Fax Number | 2084542726 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-5891 | ID | Behavioral Health & Social Service Providers |
| Street Address |
2609 S 10TH AVE STE. 102 |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-6816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467899930 | Carolyn Anderson | Social Worker | 2609 S 10th Ave, Caldwell, ID 83605 | 2013-05-24 |
| 1962000653 | Jordyn Ashlie Oliver | Nurse Practitioner | 2609 S 10th Ave, Caldwell, ID 83605-6816 | 2020-10-14 |
| 1407461817 | Phoebe Ackart Uricchio | Nurse Practitioner | 2609 S 10th Ave, Caldwell, ID 83605-6816 | 2020-09-11 |
| 1184240194 | Jarrod Vaughn Crump | Nurse Practitioner | 2609 S 10th Ave, Caldwell, ID 83605-6816 | 2020-06-25 |
| 1275007965 | Ronnie Bryon Isaacson | Physician Assistant | 2609 S 10th Ave, Caldwell, ID 83605-6816 | 2019-01-15 |
| 1225585003 | Mary J Payne | Counselor | 2609 S 10th Ave, Ste 102, Caldwell, ID 83605-6816 | 2016-09-08 |
| 1386099257 | Lindsey Trowbridge | Counselor | 2609 S 10th Ave, Suite 102, Caldwell, ID 83605-6816 | 2016-04-28 |
| 1316311954 | Ashley Croft | Nurse Practitioner | 2609 S 10th Ave, Caldwell, ID 83605-6816 | 2015-11-19 |
| 1053783068 | Jason Weaver | Physician Assistant | 2609 S 10th Ave, Caldwell, ID 83605-6816 | 2015-10-29 |
| 1447643101 | Mandy Mitchell | Social Worker | 2609 S 10th Ave, Caldwell, ID 83605-6816 | 2015-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| Find all providers in zip 83605 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144786070 | Kayla White | Counselor | 524 Cleveland Blvd Ste 180, Caldwell, ID 83605-4076 | 2019-02-15 |
| 1649749482 | Andrew Thomas Lynes | Counselor | 19667 Cumberland Way, Caldwell, ID 83605-8049 | 2018-11-22 |
| 1558840694 | Veronica Joyce Zarmez | Counselor | 824 E Logan St, Caldwell, ID 83605-4925 | 2018-08-09 |
| 1871957233 | Chelsea Schwickert | Counselor | 222 N 12th Ave, Caldwell, ID 83605-3554 | 2016-04-11 |
| 1730596073 | Jamie Bird | Counselor | 5095 County Road 378, Caldwell, TX 77836-6750 | 2014-07-18 |
| 1609213180 | Elizabeth R Greenberg | Counselor | 14 Forest Ave, Caldwell, NJ 07006-5208 | 2013-05-24 |
| 1891139333 | Catherine Codella | Counselor | 275 Bloomfield Ave, Suite 3a, Caldwell, NJ 07006-5143 | 2013-04-27 |
| 1801174875 | Camryn Conrad-renteria | Counselor | 2609 S 10th Ave Ste 102, Caldwell, ID 83605-6885 | 2011-07-25 |
| 1811139694 | David Allen Reynolds | Counselor | 2922 Cleveland Blvd Ste 500, Caldwell, ID 83605-6962 | 2009-03-25 |
| 1598922528 | John Christopher Taggart Jr. | Counselor | 2922 East Cleveland Blvd., Suite 300, Caldwell, ID 83605 | 2008-05-19 |
| Find all providers in CALDWELL | ||||
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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.