DR. COLEEN D HULBERT (NPI# 1396970612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396970612 |
| Entity Type | Individual |
| Full Name | DR. COLEEN D HULBERT |
| Other Name | DR. COLEEN DENISE HASSELL |
| Credential | MD |
| Practice Address |
3101 E State St Ste 1100 Eagle ID 83616-6232 |
| Mailing Address |
190 E Bannock St Boise ID 83712-6241 |
| Practice Telephone | 2084733500 |
| Mailing Telephone | 2083812222 |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2014-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | M11814 | ID | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | TRN13814 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
3101 E STATE ST STE 1100 |
| City | EAGLE |
| State | ID |
| Zip Code | 83616-6232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194773598 | Kimberly R Tanabe | Internal Medicine | 3101 E State St, Suite 2120, Eagle, ID 83616-6232 | 2006-05-05 |
| 1801131800 | Katherine Hawkins Andrews | Physician Assistant | 3101 E State St, Ste 2120, Eagle, ID 83616-6232 | 2012-12-01 |
| 1457606832 | Jessica Ann Clark | Audiologist | 3101 E State St, Suite 2108, Eagle, ID 83616-6232 | 2012-07-20 |
| 1972757870 | University Professional Services | Clinic/Center | 3101 E State St, Suite 2107, Eagle, ID 83616-6232 | 2008-11-05 |
| 1801057708 | Mary Ann Z. Huntington | Internal Medicine | 3101 E State St, Suite 2120, Eagle, ID 83616-6232 | 2008-06-23 |
| 1437198884 | Susanne L Stickler | Internal Medicine | 3101 E State St, Suite 2120, Eagle, ID 83616-6232 | 2006-06-04 |
| 1689627069 | John David Mcdermott | Physician Assistant | 3101 E State St, Suite 2120, Eagle, ID 83616 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
| 1861922627 | Nicholas A. Stelzner | Counselor | 2419 W. State St. Suite 8, Boise, ID 83616 | 2017-06-14 |
| 1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
| 1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
| 1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
| 1043552524 | Tori Croshaw | Social Worker | 372 S Eagle Rd Ste 190, Eagle, ID 83616 | 2013-03-21 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1437494457 | Mary Beth Roehling | Nurse Practitioner | 2040 E Hologate Ct, Eagle, ID 83616 | 2012-12-03 |
| Find all providers in zip 83616 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801156351 | Martin J Gabica | Family Medicine | 2323 E Buckskin Ct, Eagle, ID 83616-2931 | 2012-05-17 |
| 1124390687 | Jamesd Elwood Eshenaur | Family Medicine | 981 N Elkriver Way, Eagle, ID 83616-5448 | 2012-01-31 |
| 1871823203 | Integrative Medicine Clinic | Family Medicine | 960 Chambers Ave, A-203, Eagle, CO 81631 | 2010-01-07 |
| 1538214184 | Daniel Stewart Knorpp | Family Medicine | 3217 Bavaria Street, Eagle, ID 83616-5171 | 2007-01-24 |
| 1043389356 | Angela Ammon | Family Medicine | 377 Sylvan Lake Rd Ste 220, Eagle, CO 81631-0129 | 2006-11-08 |
| 1053494146 | Brook Medical Pllc | Family Medicine | 1281 E. Iron Eagle Dr, Eagle, ID 83616-9117 | 2006-10-23 |
| 1043322217 | Heidi A Herold | Family Medicine | 435 S Eagle Rd Ste 100, Eagle, ID 83616-6018 | 2006-08-31 |
| 1194835546 | River Medical Family Medicine, Pllc | Family Medicine | 100 Cottonwood Ct Bldg D, Suite 150, Eagle, ID 83616-6576 | 2006-08-30 |
| 1124030093 | Linda D Burke Md Pa | Family Medicine | 445 S. Fitness Place, Eagle, ID 83616 | 2006-08-12 |
| 1376581124 | Linda D Burke | Family Medicine | 445 S Fitness Pl, Ste130, Eagle, ID 83616-6552 | 2006-06-03 |
| Find all providers in EAGLE | ||||
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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.