MR. KEITA SHIMADA (NPI# 1386053213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386053213 |
| Entity Type | Individual |
| Full Name | MR. KEITA SHIMADA |
| Credential | MK, LAT, ATC |
| Practice Address |
1910 University Dr # Ms 1020 Boise ID 83725-0001 |
| Practice Telephone | 2084076526 |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | AT-334 | ID | Other Service Providers |
| Street Address |
1910 UNIVERSITY DR # MS 1020 |
| City | BOISE |
| State | ID |
| Zip Code | 83725-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194276550 | Dylan E Schmick | Specialist/Technologist | 1910 University Drive, Boise, ID 83725 | 2016-10-20 |
| 1770183089 | Boise State University | Clinical Medical Laboratory | Bsu Science Bld Room 239 2133 W Cesar Chavez Ln, Boise, ID 83725-0001 | 2020-10-27 |
| 1275815904 | Christian Gelok | Nurse Practitioner | 1910 University Dr # Ms 1351, Boise, ID 83725-0001 | 2011-09-20 |
| 1750680849 | Alison Radcliffe | Psychologist | 1529 S Belmont St, Boise, ID 83725-0001 | 2011-03-15 |
| 1336477207 | Rd Boardman | Psychologist | Health Services 1529 Belmont St, Boise, ID 83725-0001 | 2009-12-03 |
| 1194865444 | Boise State Health Center | Clinic/Center | 2103 University Dr, Boise, ID 83725-0001 | 2007-02-07 |
| 1033154802 | James Floyd Spooner | Specialist/Technologist | Boise State University, 1910 University Dr, Boise, ID 83725-0001 | 2006-06-17 |
| 1750947701 | Monique Victoria Barber | Counselor | 1529 Belmont St, Boise, ID 83725-0001 | 2019-05-15 |
| 1700359916 | Taylor Lannea Aylsworth-hayfield | Specialist/Technologist | 1910 University Dr, Boise, ID 83725-0001 | 2019-01-10 |
| 1275071110 | Savannah Knighton | Specialist/Technologist | 1910 University Dr, Boise, ID 83725-0001 | 2017-02-10 |
| Find all providers in zip 83725 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851855803 | Lauren Rybarczyk | Specialist | 11498 W Carmichael Dr, Boise, ID 83709-7382 | 2019-01-24 |
| 1851834311 | Tegan Shuman | Specialist | 7307 W San Fernando Dr, Boise, ID 83704-5953 | 2016-11-30 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1093119042 | Robert Porter II | Specialist | 1346 E Candleridge Dr, Boise, ID 83712-6504 | 2014-10-20 |
| 1760885073 | Kelcee Keyes | Specialist | 1705 N Cole Rd, Boise, ID 83704-7304 | 2014-09-30 |
| 1316373186 | Ralph V Nishitani | Specialist | 9317 W Pandion Ct, Boise, ID 83714-6715 | 2013-09-24 |
| 1548608094 | James Doyce Strong Jr. | Specialist | 3675 S Pimmit Ave, Boise, ID 83706-6416 | 2013-06-06 |
| 1649409269 | Iris Ginron Baker | Specialist | 3555 N Cole Rd, 105, Boise, ID 83704-0733 | 2009-07-02 |
| 1356589931 | Jay T. Ballhagen | Specialist | 10500 W Waterway Ct, Boise, ID 83714-3616 | 2009-02-04 |
| 1629228184 | Jeannette Elizabeth Flood | Specialist | 1818 W. State St, First Step for Women, Boise, ID 83702 | 2008-09-22 |
| Find all providers in BOISE | ||||
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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.