MARK AARON PHELAN (NPI# 1457879975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457879975 |
| Entity Type | Individual |
| Full Name | MARK AARON PHELAN |
| Credential | RN |
| Practice Address |
779 S. Tennyson Way Boise ID 83709 |
| Mailing Address |
779 S Tennyson Way Boise ID 83709-7738 |
| Practice Telephone | (208) 724-1829 |
| Practice Fax Number | 2087241829 |
| Mailing Telephone | 2087241829 |
| Mailing Fax Number | 2087241829 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | N-29179 | ID | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | M8070381 | 05 | |
| ID | M8071148 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100279 | Mark Phelan | Marriage & Family Therapist | 1118 20th St Apt B, Santa Monica, CA 90403-5635 | 2019-08-26 |
| 1801882030 | Mark J Phelan | Ophthalmology | 2120 Antilley Rd, Abilene, TX 79606-5211 | 2005-09-22 |
| Street Address |
779 S. TENNYSON WAY |
| City | BOISE |
| State | ID |
| Zip Code | 83709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655398 | Jayme Rossow | Occupational Therapist | 101 S. Allumbaugh Way, Boise, ID 83709 | 2020-10-05 |
| 1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
| 1164080164 | Elena Stamm | Audiologist | 10000 W Amity Rd, Boise, ID 83709 | 2019-06-04 |
| 1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
| 1235665290 | Sharon Nelson | Dietitian, Registered | 2790 S Goshen Way, Boise, ID 83709 | 2017-05-11 |
| 1982139622 | First Choice Healthcare, Inc. | Home Health | 12400 W. Overland Rd., Ste 100, Boise, ID 83709 | 2017-05-01 |
| 1801320254 | Deborah Carson | Social Worker | 8349 West Harmonica Way, Boise, ID 83709 | 2017-04-12 |
| 1114479862 | Allyson Anne Bates | Nurse Practitioner | 10583 W Lake Hazel Road, Samg Family Medicine, Boise, ID 83709 | 2016-10-28 |
| 1508221391 | Elisha L. Garrison | Counselor | 9196 W. Barnes Street, Boise, ID 83709 | 2015-12-21 |
| 1043689474 | Macaile Hutt | Occupational Therapist | 1172 W Franklin Rd, Boise, ID 83709 | 2015-09-16 |
| Find all providers in zip 83709 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973073 | Austin Sheppard | Registered Nurse | 3772 S Caddis Pl, Boise, ID 83716-5083 | 2020-08-17 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1922647221 | Brian Eric Bryant | Registered Nurse | 9874 W Sleepy Hollow Ln, Boise, ID 83714-3664 | 2020-01-03 |
| 1619435526 | Corey Albertson | Registered Nurse | 2108 N Fastwater Ave, Boise, ID 83713-6629 | 2019-03-10 |
| 1497211486 | Roxanne Marie Nichols | Registered Nurse | 333 N 1st St Ste 250, Boise, ID 83702-6132 | 2019-02-14 |
| 1962981217 | Arlee Marie Tamietti | Registered Nurse | 500 W Front St, Boise, ID 83702-7231 | 2018-08-08 |
| 1659857373 | Jennifer Valdez | Registered Nurse | 3344 N Lakeharbor Ln # L302, Boise, ID 83703-6260 | 2018-07-16 |
| 1093201881 | Bridget Mary Leake | Registered Nurse | 1618 N 27th St, Boise, ID 83702-0115 | 2018-07-05 |
| 1750812236 | Melisa Rios Hauth | Registered Nurse | 8365 W Snohomish St, Boise, ID 83709-5964 | 2017-03-25 |
| 1467992578 | Nathan Zahrt | Registered Nurse | 4080 S Minuteman Way, Boise, ID 83706-5836 | 2017-03-08 |
| 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.