KIMBERLY SPEARS (NPI# 1558564138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558564138 |
| Entity Type | Individual |
| Full Name | KIMBERLY SPEARS |
| Credential | NP |
| Practice Address |
1902 Judith Ln Suite 110 Boise ID 83705-5235 |
| Mailing Address |
Po Box 190601 Boise ID 83719-0601 |
| Practice Telephone | 2086580800 |
| Practice Fax Number | 2083231894 |
| Mailing Telephone | 2083712703 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2010-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
17148A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801138755 | Kimberly Antoinette Spears | Licensed Practical Nurse | 47 Titus Ave, Buffalo, NY 14212-1829 | 2013-03-19 |
| 1154685048 | Kimberly A Spears | Counselor | 1900 Crossfield Dr, Edmond, OK 73025-1202 | 2012-06-26 |
| 1124347596 | Kimberly Spears | Occupational Therapy Assistant | 709 Taylor St, Dayton, OH 45404-1633 | 2010-05-25 |
| 1285878199 | Kimberly Renee Spears | Case Manager/Care Coordinator | 5560 Ackerfield Ave., Long Beach, CA 90805-4958 | 2009-04-22 |
| 1811212806 | Kimberly Joan Spears | Licensed Practical Nurse | 175 Central Ave, Albany County Support Center, Albany, NY 12206-2937 | 2010-04-01 |
| 1518032440 | Kimberly Michelle Spears | Rehabilitation Practitioner | 3751 Stocker St, Los Angeles, CA 90008-5101 | 2006-11-24 |
| Street Address |
1902 JUDITH LN SUITE 110 |
| City | BOISE |
| State | ID |
| Zip Code | 83705-5235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356336648 | Stephen Thomas Bushi | Psychiatry & Neurology | 1902 Judith Ln, Suite 110, Boise, ID 83705-5209 | 2005-09-13 |
| 1306993597 | Stephen T. Bushi, M.d. | Nurse Practitioner | 1902 Judith Ln, Suite 110, Boise, ID 83705-5235 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938779 | Halo Health Services LLC | Community/Behavioral Health | 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 | 2020-06-29 |
| 1598265860 | Felica Jo Duce | Counselor | 921 S Orchard St Ste 103, Boise, ID 83705 | 2018-02-13 |
| 1215364278 | Erica Zelickowski | Pharmacist | 1653 S Vista Avenue, Boise, ID 83705 | 2013-10-04 |
| 1952655490 | Aida Dizdar-barac | Social Worker | 2273 S. Vista Avenue, Suite 190, Boise, ID 83705 | 2012-11-06 |
| 1033461033 | Julie Marie Meek | Social Worker | 3324 W Elder St, Boise, ID 83705 | 2012-10-15 |
| 1568761112 | Berkeley Fraser | Pharmacist | 3527 S Federal Way Suite 104, Boise, ID 83705 | 2011-03-22 |
| 1922311042 | Amber Vania | Family Medicine | 4971 W. Overland Road, Boise, ID 83705 | 2010-07-18 |
| 1295056836 | Cherise M Wetzel | Social Worker | 1625 S Eagleson Rd, B1, Boise, ID 83705 | 2010-06-17 |
| 1558685305 | Rae Ann Norell | Social Worker | 2273 S. Vista Ave, #190 Treasure Valley Community Counseling Services, Boise, ID 83705 | 2010-03-23 |
| 1164679932 | Oreana Harless | Social Worker | 2550 South Vista Ave, Boise, ID 83705 | 2008-08-25 |
| Find all providers in zip 83705 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790302594 | Dumu Psychiatry LLC | Nurse Practitioner | 9428 W Fairview Ave, Boise, ID 83704-8101 | 2020-06-29 |
| 1104309657 | Brigitta Panther | Nurse Practitioner | 418 W Reese St, Boise, ID 83706-6233 | 2018-09-11 |
| 1336413459 | Cheryl Suhr | Nurse Practitioner | 10840 W Wasdale Dr, Boise, ID 83709-7170 | 2012-03-07 |
| 1679898225 | Shawna L Kuehne | Nurse Practitioner | 1902 Judith Ln Ste 110, Boise, ID 83705-5235 | 2010-04-06 |
| 1841529310 | Carolyn Corbett | Nurse Practitioner | 7280 W Ustick Rd, Suite 101, Boise, ID 83704-5014 | 2009-12-13 |
| 1306089271 | Mark A Jepson | Nurse Practitioner | 1919 W State St, Boise, ID 83702-3958 | 2009-04-08 |
| 1548300924 | Gia Swope | Nurse Practitioner | 13967 W Wainwright Dr, Suite 103, Boise, ID 83713-2094 | 2007-02-07 |
| 1043392756 | Satu H. Woodland | Nurse Practitioner | 3152 S. Bown Way # 102, Boise, ID 83706 | 2006-10-20 |
| 1295735801 | Karen Lenore Schumacher | Nurse Practitioner | 2308 N Cole Rd, Ste A, Boise, ID 83704-7361 | 2005-07-26 |
| 1710593363 | Laura Lyn Allen | Nurse Practitioner | 3152 S Bown Way Ste 102, Boise, ID 83706-5456 | 2020-09-18 |
| 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.