CELEBRATE LIFE WELLNESS (NPI# 1366811267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366811267 |
| Entity Type | Organization |
| Organization Name | CELEBRATE LIFE WELLNESS |
| Practice Address |
7750 W Crestwood Dr Boise ID 83704-3000 |
| Practice Telephone | 2083765433 |
| Mailing Telephone | 2083765433 |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |
| Authorized Official Name | TIFFANY GAURON (OFFICE MANAGER) |
| Authorized Official Telephone | 2083765433 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | C0610 | ID | Managed Care Organizations |
| Street Address |
7750 W CRESTWOOD DR |
| City | BOISE |
| State | ID |
| Zip Code | 83704-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659740553 | Rebecca Breshears | Chiropractor | 7750 W Crestwood Dr, Boise, ID 83704-3000 | 2015-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043643844 | Burks Counseling, Pllc | Preferred Provider Organization | 1674 W Hill Rd, Suite 17, Boise, ID 83702-0958 | 2013-08-15 |
| 1558585455 | Michael E. Estess, M. D. Chartered | Preferred Provider Organization | 1471 Shoreline Dr, Suite 119, Boise, ID 83702-6879 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720521719 | Advanced Chiropractic of Blackfoot | Preferred Provider Organization | 1395 Nw Main St, Blackfoot, ID 83221-3936 | 2016-11-23 |
| 1326414673 | Douglas R. Schultz | Preferred Provider Organization | 2285 E 25th St, Idaho Falls, ID 83404-4724 | 2015-08-20 |
| 1770995219 | Divinity Healthcare Services Pllc | Preferred Provider Organization | 620 S Elder St, Nampa, ID 83686-5212 | 2014-06-02 |
| 1609113455 | Stone Ridge Dental P.C. | Preferred Provider Organization | 380 W Judicial St, Blackfoot, ID 83221-2122 | 2013-01-14 |
| 1558512277 | Stone Ridge Dental Inc. | Preferred Provider Organization | 1035 October Cv, Shelley, ID 83274-5068 | 2008-10-01 |
| 1629266424 | Victoria L Johnson | Preferred Provider Organization | 18168 Spicebush Ave, Nampa, ID 83687-5003 | 2007-10-05 |
| 1700890068 | Better Health & Play Therapy, Inc. | Preferred Provider Organization | 213 11th Ave S, Nampa, ID 83651-3920 | 2006-07-29 |
| 1235670704 | Douglas R. Schultz | Preferred Provider Organization | 859 S Yellowstone Hwy Ste 301, Rexburg, ID 83440-5321 | 2017-03-16 |
| 1063764462 | Active Family Healthcare Pllc | Preferred Provider Organization | 919 W Canfield Ave, Coeur D Alene, ID 83815-9764 | 2012-10-09 |
| 1790925576 | Total Care Chiropractic | Preferred Provider Organization | 2060 E 25th St, Idaho Falls, ID 83404-6490 | 2009-03-06 |
| Find all providers with the same taxonomy | ||||
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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.