KARISSA THUESON


Address: 450 E Main St, Rexburg, ID 83440-2048
Phone: 2083596900

KARISSA THUESON (NPI# 1396352142) 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) 1396352142
Entity Type Individual
Full Name KARISSA THUESON
Credential NNP
Practice Address 450 E Main St
Rexburg
ID 83440-2048
Mailing Address 301 N 3811 E
Rigby
ID 83442-5186
Practice Telephone 2083596900
Mailing Telephone 2084978114
Enumeration Date 2020-09-25
Last Update Date 2020-09-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0000X Nurse Practitioner
Specialization: Neonatal
65959 ID Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 450 E MAIN ST
City REXBURG
State ID
Zip Code 83440-2048

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639111206 Madison Physician Services Emergency Medicine 450 E Main St, Rexburg, ID 83440-2048 2006-06-11
1376192674 David Howard Anderson Pharmacist 450 E Main St, Rexburg, ID 83440-2048 2019-09-09
1124676663 Susan B Clark Dietitian, Registered 450 E Main St, Rexburg, ID 83440-2048 2019-08-28
1790278760 Allen Terry Miller Pharmacist 450 E Main St, Rexburg, ID 83440-2048 2018-06-13
1831682194 Dorsie Thomas Sullenger Pharmacist 450 E Main St, Rexburg, ID 83440-2048 2018-06-12
1184122756 Steven Craig Pierce Physician Assistant 450 E Main St, Rexburg, ID 83440-2048 2018-01-29
1215471065 Troy Hanson Nurse Practitioner 450 E Main St, Rexburg, ID 83440-2048 2016-12-13
1346692605 University of Utah Pediatric Services Pediatrics 450 E Main St, Rexburg, ID 83440-2048 2016-07-11
1871941724 Justin Shippen Family Medicine 450 E Main St, Rexburg, ID 83440-2048 2016-06-01
1346643038 Madison Memorial Hospital Clinic/Center 450 E Main St, Rexburg, ID 83440-2048 2014-10-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235768490 Henry's Fork Surgery Center Pllc Clinic/Center 23 Sawtelle Ave, Rexburg, ID 83440 2020-04-08
1952956906 Shane Ellis Withers Pharmacist 164 E. Main, Rexburg, ID 83440 2019-08-06
1316392285 Emma Anderson Speech-Language Pathologist 36 Professional Plaza Suite 110, Rexburg, ID 83440 2016-04-28
1851755524 Sandra Frickey Speech-Language Pathologist 1087 Summers Drive, Premier Therapy Associates, Rexburg, ID 83440 2016-04-08
1275997215 Kerry Denney Counselor 333 Walker Drive, Rexburg, ID 83440 2016-04-06
1467837583 Wal-mart Stores, Inc. Technician/Technologist 303 E Moody Rd, Rexburg, ID 83440 2015-07-30
1649692609 Tanabell Health Services, Inc. Skilled Nursing Facility 410 W 1st N, Rexburg, ID 83440 2014-01-10
1043652571 Creed Simon Webster Counselor 30 S 2nd W, Rexburg, ID 83440 2013-07-25
1033461660 James Cannon Allen Dds PC Dentist 106 E 1st North, Rexburg, ID 83440 2012-10-05
1417217316 Shelby Dee Woolstenhulme Speech-Language Pathologist 450 E. Main Street, Rexburg, ID 83440 2012-05-24
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Taxonomy Information

Taxonomy Code 363LN0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437400496 Sandra Ann Nearing Nurse Practitioner 1165 W Snoqualmie Ave, Post Falls, ID 83854-8129 2012-09-30
1952586679 Alysha K. Jenkins Nurse Practitioner 3270 E 17th St # 207, Ammon, ID 83406-6758 2007-12-31
1336668730 Phillissa Kay Rozansky Nurse Practitioner 190 E Bannock St, Boise, ID 83712-6241 2017-09-17
1255776118 Lesli Blanchard Nurse Practitioner 3100 Channing Way, Idaho Falls, ID 83404-7533 2013-05-06
1518301290 Robin Winchester Nurse Practitioner 1055 N Curtis Rd, Boise, ID 83706-1309 2013-04-24
1972810554 Abby Lynn Gray Nurse Practitioner 190 E Bannock St, Boise, ID 83712-6241 2010-09-03
1679725394 Melissa A Beckler Nurse Practitioner 190 E Bannock St, Boise, ID 83712-6241 2008-10-13
1679635478 Kimberly Mae Labronte Nurse Practitioner 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2006-12-15
1669496436 Tammy L Allen Nurse Practitioner 190 E Bannock St, Boise, ID 83712-6241 2006-07-26
1891717609 Susan Cheeseman Nurse Practitioner 190 E Bannock St, Boise, ID 83712-6241 2006-07-24
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Competitor

Search similar providers

City REXBURG
Zip Code 83440

Improve Information

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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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