AMANDA J ALLAIRE (NPI# 1407190671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407190671 |
| Entity Type | Individual |
| Full Name | AMANDA J ALLAIRE |
| Credential | NP |
| Practice Address |
380 Washington Ave Ketchum ID 83340 |
| Mailing Address |
310 Willoway Rd Hailey ID 83333-4970 |
| Practice Telephone | 2087250900 |
| Practice Fax Number | 2087250901 |
| Mailing Telephone | 4148972435 |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2017-11-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
1618A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | ANCC | 2012001190 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083227961 | Amanda Ellen Allaire | Specialist | 50 E North St, Buffalo, NY 14203-1002 | 2020-08-28 |
| Street Address |
380 WASHINGTON AVE |
| City | KETCHUM |
| State | ID |
| Zip Code | 83340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194136515 | Family Medicine & Medicine | Physician Assistant | 380 Washington Ave, Suite 204, Ketchum, ID 83340-1575 | 2014-05-20 |
| 1396900742 | Kimberly A. Vorse Md PC | Clinic/Center | 380 Washington Ave, Suite 201, Ketchum, ID 83340 | 2008-07-25 |
| 1043242613 | Kimberly A Vorse | Internal Medicine | 380 Washington Ave, Suite 201, Ketchum, ID 83340-5000 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779606 | Rooted Womens Health | Occupational Therapist | 431 N Walnut Ave, Ketchum, ID 83340 | 2020-10-29 |
| 1841826252 | Pilar Settlemier Tumolo | Counselor | 220 River Street East, Ketchum, ID 83340 | 2020-03-17 |
| 1598390643 | Alyson Holmes Witmer | Counselor | 220 2nd Ave, Ste 201, Ketchum, ID 83340 | 2020-03-10 |
| 1952864506 | Mollie Parker Szybala | Naturopath | 128 Saddle Rd, Suite 103-c, Ketchum, ID 83340 | 2019-04-10 |
| 1740789353 | Courtney Loving | Counselor | 208 N. Spruce, Ketchum, ID 83340 | 2018-02-09 |
| 1164876785 | Rebecca Grace | Psychologist | 200 River St East, Ketchum, ID 83340 | 2016-04-20 |
| 1306209556 | Garrett Coman | Dermatology | St. Luke's Dermatology, 191 5th Street West, Ketchum, ID 83340 | 2016-04-04 |
| 1265895775 | Innerhealth Md PC | Acupuncturist | 180 West 1st Street, Suite 206, Ketchum, ID 83340 | 2016-04-01 |
| 1487023503 | Tomomi Ikawa | Chiropractor | 131 4th St. E., Suite 310, Ketchum, ID 83340 | 2015-09-18 |
| 1790195766 | Maria Morris | Acupuncturist | 220 South 2nd Ave #101, Ketchum, ID 83340 | 2014-04-30 |
| Find all providers in zip 83340 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700409018 | Kimberly Boyd Jabbes | Nurse Practitioner | 2468 W Malraux Dr, Coeur D Alene, ID 83815-0438 | 2020-05-20 |
| 1063970168 | Tina Michelle Thorne | Nurse Practitioner | 512 5th Ave S, Nampa, ID 83651-4153 | 2019-03-07 |
| 1952883571 | Ana Linda Laborde | Nurse Practitioner | 4528 N Bright Angel Ave, Meridian, ID 83646-3655 | 2018-08-30 |
| 1629579388 | Melissa Major | Nurse Practitioner | 4897 W Eagle Landing Ct, Eagle, ID 83616-5079 | 2018-02-27 |
| 1487152658 | Danielle Jean Larson | Nurse Practitioner | 255 Cedar Park Cir, Twin Falls, ID 83301-8911 | 2018-01-23 |
| 1861927634 | Travis Chandler | Nurse Practitioner | 1900 Conant Ave, Burley, ID 83318-2333 | 2017-04-28 |
| 1245690544 | Olde Town Medical | Nurse Practitioner | 124 E Pine Ave, Meridian, ID 83642-2331 | 2016-02-29 |
| 1881017382 | Joniruth Digaum | Nurse Practitioner | 8040 S Red Cliff Ave, Boise, ID 83716-3466 | 2014-02-04 |
| 1790119238 | Illaria C Moore | Nurse Practitioner | 11050 Montana Ave, Boise, ID 83713-5049 | 2013-08-31 |
| 1851438006 | Gregory C Galloway | Nurse Practitioner | 5440 W Franklin Rd, Suite 100, Boise, ID 83705-1079 | 2007-01-30 |
| 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.