MR. RICHARD M MCCONKIE JR. (NPI# 1457792277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457792277 |
| Entity Type | Individual |
| Full Name | MR. RICHARD M MCCONKIE JR. |
| Credential | NP-C |
| Practice Address |
381 S Middleton Rd Ste B Middleton ID 83644-5369 |
| Practice Telephone | 2085856311 |
| Mailing Telephone | 2085856311 |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2015-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP 1302 A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
381 S MIDDLETON RD STE B |
| City | MIDDLETON |
| State | ID |
| Zip Code | 83644-5369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558351569 | Kristin A Christensen | Physician Assistant | 381 S Middleton Rd Ste B, Suite 115, Middleton, ID 83644-5369 | 2005-10-21 |
| 1841731155 | Adam L Reno | Family Medicine | 381 S Middleton Rd Ste B, Middleton, ID 83644-5369 | 2017-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558008 | Forge International School | Local Education Agency (LEA) | 208 S Hartley Ln, Middleton, ID 83644 | 2019-09-20 |
| 1225329287 | Denise Ann Graveline | Pharmacist | 16700 N Marketplace, Nampa, ID 83644 | 2011-04-26 |
| 1497087951 | Kriste Ann Barnes-perrin | Speech-Language Pathologist | 23 East 1st Street North, Middleton, ID 83644 | 2010-02-09 |
| 1447581665 | Tammy M Marr | Specialist/Technologist | 341 N. 4th Ave W., Middleton, ID 83644 | 2010-01-28 |
| 1902925126 | Aries J Ganir | Dentist | 1064 W. Main Street, Middleton, ID 83644 | 2007-03-28 |
| 1669556908 | Erin Keller | Nurse Practitioner | 201 S. 1st Ave. E, Middleton, ID 83644 | 2006-10-24 |
| 1609818483 | West Valley Medical Center Inc | General Acute Care Hospital | 381 B South Middleton Road, Middleton, ID 83644 | 2006-06-13 |
| 1528250099 | Lee Physical Therapy, PC | Specialist | 18 E Main St, Suite 1, Middleton, ID 83644 | 2007-08-17 |
| 1124155577 | Ridleys Family Markets Inc | Pharmacy | 430 E Main St, Middleton, ID 83644-3036 | 2007-02-27 |
| 1508232703 | Lin-foo Sam Lee | Pharmacist | 430 E Main St, Middleton, ID 83644-3036 | 2015-08-11 |
| Find all providers in zip 83644 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679975734 | Emily Herzog | Nurse Practitioner | 7248 Squire Cir, Middleton, WI 53562 | 2014-09-20 |
| 1881818110 | Margaret A. O'callaghan | Nurse Practitioner | Dys Ne Health Services, 33 Gregory Street, Middleton, MA 01949 | 2007-04-11 |
| 1336100783 | Rosemary S Neider | Nurse Practitioner | 6508 Clovernook Rd, Middleton, WI 53562-3804 | 2006-03-28 |
| 1366411332 | Catherine Hubbard | Nurse Practitioner | 4575 Evergreen Rd, Middleton, WI 53562-4201 | 2006-03-14 |
| 1124029608 | Martine Banda-wolk | Nurse Practitioner | 7601 Discovery Dr, Middleton, WI 53562-5528 | 2005-08-09 |
| 1457950693 | Dalyn Renzello | Nurse Practitioner | 232 S Main St, Middleton, MA 01949-3305 | 2020-10-20 |
| 1669084893 | Katherine Hass | Nurse Practitioner | 2275 Deming Way Ste 180, Middleton, WI 53562-5527 | 2020-08-19 |
| 1306461280 | Haitham Serhan | Nurse Practitioner | 40 East St, Middleton, MA 01949-1503 | 2020-06-16 |
| 1073177564 | Mh Health Care Services, PC | Nurse Practitioner | 7601 Discovery Dr, Middleton, WI 53562-5528 | 2019-04-30 |
| 1043718893 | Cindy Laporte-unni | Nurse Practitioner | 147 S Main St, Middleton, MA 01949-2446 | 2018-01-26 |
| Find all providers in MIDDLETON | ||||
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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.