MRS. DELLISA DAWN EDDINGTON


Address: 6000 S 5th Ave, Pocatello, ID 83204-5075
Phone: 2084788400

MRS. DELLISA DAWN EDDINGTON (NPI# 1356812945) 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) 1356812945
Entity Type Individual
Full Name MRS. DELLISA DAWN EDDINGTON
Credential NP-C
Practice Address 6000 S 5th Ave
Pocatello
ID 83204-5075
Practice Telephone 2084788400
Practice Fax Number 2082326018
Enumeration Date 2018-12-08
Last Update Date 2018-12-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
60010 ID Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1441 Parkway Dr, Blackfoot, ID 832211667 2087852600

Office Location

Street Address 6000 S 5TH AVE
City POCATELLO
State ID
Zip Code 83204-5075

Providers in the same zip code

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1568974541 Daniel Graham Rasmussen Social Worker 335 N. Main, Pocatello, ID 83204 2017-10-30
1801311246 Thomas Henrie Specialist/Technologist 3960 Stockman Rd., Pocatello, ID 83204 2017-08-07
1750803110 David Tim Williams Counselor 224 S. Arthur Suite 2, Pocatello, ID 83204 2017-07-07
1023441185 Insight Occupational Therapy, LLC Occupational Therapist 158 N Main St., Pocatello, ID 83204 2013-08-13
1679816912 A New Hope, LLC Day Training, Developmentally Disabled Services 19b Mountain Dr, Pocatello, ID 83204 2013-04-05
1790032431 Wynnona Sarah Warren Pharmacist 911 North Main Street, Pocatello, ID 83204 2012-08-13
1902110380 Belmont Management, Inc. Intermediate Care Facility, Mentally Retarded 6150 S. 5th Ave, Pocatello, ID 83204 2010-07-28
1104066539 Rachel Ann Seibold Speech-Language Pathologist 1254 Swisher Rd, Pocatello, ID 83204 2009-02-25
1710163803 Allen Bennett Martin Clinic/Center 540 South Garfield, Pocatello, ID 83204 2008-01-18
1174711758 Rsm Pa Pllc Physician Assistant 1595 Bannock Hwy, Pocatello, ID 83204 2007-10-09
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679183388 Health Innovations, LLC Nurse Practitioner 240 N 18th Ave, Pocatello, ID 83201-3324 2020-08-06
1285295634 Rebekah Lucero Nurse Practitioner 2185 Steven St, Pocatello, ID 83201-1928 2019-06-26
1285199869 Jason Knighton Nurse Practitioner 5800 S 5th Ave, Pocatello, ID 83204-2205 2019-02-07
1457839730 In Balance: Integrative Primary Healthcare Pllc Nurse Practitioner 1017 E Young St, Pocatello, ID 83201-5237 2018-07-30
1851885420 Jordan Clay Chapman Nurse Practitioner 777 Hospital Way Ofc Bldg, Pocatello, ID 83201-2797 2018-06-18
1356846398 Paul Haislip Nurse Practitioner 340 N 14th Ave, Pocatello, ID 83201-4118 2018-03-29
1568906865 Dustin Reno Nurse Practitioner 1155 Yellowstone Ave Ste D, Pocatello, ID 83201-4369 2016-12-06
1518415942 Kelli Fries-geslin Nurse Practitioner 500 South 11 Ave Suite 400, Pocatello, ID 83201 2016-09-14
1376992503 Andrea Walsh Nurse Practitioner 1133 Call Creek Dr, Ste A, Pocatello, ID 83202 2016-06-08
1407230931 Elizabeth Anne Smedley Nurse Practitioner 777 Hospital Way # 301, Pocatello, ID 83201-5175 2015-07-14
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Competitor

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City POCATELLO
Zip Code 83204

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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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