MS. KATHERINE ANNE COBURN (NPI# 1407984883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407984883 |
| Entity Type | Individual |
| Full Name | MS. KATHERINE ANNE COBURN |
| Credential | ATC, PTA, CSCS, CMT |
| Practice Address |
4822 N Rosepoint Way Boise ID 83713-0944 |
| Mailing Address |
410 E Rockingham Dr Eagle ID 83616-6918 |
| Practice Telephone | 2089411282 |
| Mailing Telephone | 2089411282 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2010-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457466054 | Katherine Jean Coburn | Dental Hygienist | 2300 Lancaster Dr Ne, Salem, OR 97305-1223 | 2006-08-21 |
| Street Address |
4822 N ROSEPOINT WAY |
| City | BOISE |
| State | ID |
| Zip Code | 83713-0944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588713614 | Danielle G Jones | Counselor | 4822 N Rosepoint Way, Suite A, Boise, ID 83713-0944 | 2007-01-09 |
| 1194965574 | Charmayne Marie Alegria | Counselor | 4822 N Rosepoint Way, Ste. A, Boise, ID 83713-0944 | 2009-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902332 | Kidscare Home Health of Idaho, LLC | Home Health | 1835 Wildwood Street, Boise, ID 83713 | 2018-11-30 |
| 1417463928 | Kimberly Ann Bohrer | Behavioral Analyst | 12053 W Hickory Dr, Boise, ID 83713 | 2017-12-19 |
| 1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
| 1518336650 | Alliance Physical Medicine | Nurse Practitioner | 13909 W Wainwright Drive, Boise, ID 83713 | 2015-09-18 |
| 1083038335 | Jan L Rehder | Nurse Practitioner | 13150 W Persimmon Lane, Boise, ID 83713 | 2014-02-06 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
| 1659667459 | Jayson Clark | Dentist | 4274 N Eagle Road, Boise, ID 83713 | 2011-06-21 |
| 1043503659 | Steven Anthony Eckhoff | Physician Assistant | 11662 W Arlen St, Boise, ID 83713 | 2011-05-16 |
| 1790923621 | Christie Dudash Flynn | Physician Assistant | 12273 W Mcmillian Road, Boise, ID 83713 | 2009-01-30 |
| 1699930404 | Dennis J. Garpetti, Dds, P.C. | Dentist | 13108 West Persimmon Lane, Boise, ID 83713 | 2008-07-21 |
| Find all providers in zip 83713 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680568 | David Book | Specialist/Technologist | 1707 N 26th St, Boise, ID 83702-0112 | 2020-05-13 |
| 1790304889 | Jared Neal | Specialist/Technologist | 12118 W Hinsdale Ct, Boise, ID 83713-4771 | 2020-04-09 |
| 1144877275 | Thisbe Cosette Sahwell | Specialist/Technologist | 1614 S Loggers Pond Pl Apt 23, Boise, ID 83706-7501 | 2019-08-22 |
| 1780243469 | Taylor Christine Grubbs | Specialist/Technologist | 14242 W Elmsprings St, Boise, ID 83713-1285 | 2019-06-06 |
| 1255999421 | Logan Rice | Specialist/Technologist | 4765 N Wildrye Dr, Boise, ID 83703-3815 | 2019-06-03 |
| 1124684758 | Mallory Sue Barber | Specialist/Technologist | 12598 W Medalist Dr, Boise, ID 83709-6500 | 2019-05-20 |
| 1750859542 | Andrew Jay Hammerquist | Specialist/Technologist | 4884 S Whitmore Way, Boise, ID 83709-3465 | 2018-11-09 |
| 1679053789 | David Redinger | Specialist/Technologist | 3409 N Whistler Ln Apt 201, Boise, ID 83703-6298 | 2018-08-17 |
| 1952892168 | Jessica Kerns | Specialist/Technologist | 6001 W Cassia St, Boise, ID 83709-2199 | 2018-05-23 |
| 1326577610 | Koreen Boydstun | Specialist/Technologist | 3301 Sweetwater Dr, Boise, ID 83716 | 2017-06-08 |
| 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.