TERESA JANEEN NEWSOM


Address: 2840 S Swallowtail Ln, Boise, ID 83706-6138
Phone: 2082442094

TERESA JANEEN NEWSOM (NPI# 1417595067) 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) 1417595067
Entity Type Individual
Full Name TERESA JANEEN NEWSOM
Credential RPH
Practice Address 2840 S Swallowtail Ln
Boise
ID 83706-6138
Practice Telephone 2082442094
Mailing Telephone 2082442094
Enumeration Date 2019-12-13
Last Update Date 2019-12-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
P4867 ID Pharmacy Service Providers

Office Location

Street Address 2840 S SWALLOWTAIL LN
City BOISE
State ID
Zip Code 83706-6138

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NPI Name Taxonomy Address Enumeration
1164993010 Brette Marie Stephenson Counselor 1529 Belmont St., Boise, ID 83706 2018-12-17
1295249241 Boise of Cascadia, LLC Skilled Nursing Facility 6000 W. Denton St., Boise, ID 83706 2017-11-29
1174035638 Zacharia Njoroge Physician Assistant 1055 N Curtis Rd 6th Floor, Boise, ID 83706 2017-10-24
1740708965 Total Renal Care Inc Clinic/Center 1070 N Curtis Rd Ste 125, Boise, ID 83706 2017-09-08
1023532173 Amber Frisch Massage Therapist 2509 S Gekeler Lane, Boise, ID 83706 2017-07-31
1952768145 Katie Garcin Specialist 1407 E Boston Dr, Boise, ID 83706 2016-01-20
1770950677 Kathryn Bender Counselor 1205 N Garden St, Boise, ID 83706 2015-08-26
1457751802 Sabrina Shumar Physician Assistant 901 N Curtis Rd Ste 501, Boise, ID 83706 2014-09-03
1831525070 Katie Joy Wilson Social Worker 333 W. Rossi St. #300, Boise, ID 83706 2013-09-19
1609208610 Christine Lea Eden Surgery 1075 N Curtis Rd Ste 101, Boise, ID 83706 2013-07-31
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932496650 Charlotte Loring Pharmacist 909 E Park Center B;vd, Boise, ID 83706 2011-07-01
1700435542 Kaitlyn Marie Holyfield Pharmacist 500 W Fort St, Boise, ID 83702-4501 2019-09-04
1861904153 Emily Muehlhausen Pharmacist 5005 W Overland Rd, Boise, ID 83705-2633 2017-10-26
1619350139 Sarah Mcclain Pharmacist 500 W Fort St, Boise, ID 83702-4501 2015-07-01
1043693609 Laura Schultz Pharmacist 500 W Fort St, Boise, ID 83702-4501 2015-07-01
1508245937 Jefferson Bohan Pharmacist 500 W Fort St, Buildling T111, Boise, ID 83702-4501 2015-05-19
1700294923 Anthony Nelson Pharmacist 500 W Fort St, Boise, ID 83702-4501 2014-07-31
1013339415 Lynnan Nielson Pharmacist 10255 W Overland Rd, Boise, ID 83709-1430 2014-01-20
1255670683 Savon Pharmacy Pharmacist 1653 S Vista Ave, Pharmacy, Boise, ID 83705-3172 2013-02-05
1609110089 Joshua M Gerving Pharmacist 500 W Fort St, Boise, ID 83702-4501 2012-11-26
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Competitor

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City BOISE
Zip Code 83706

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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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