NANCY ALSTON (NPI# 1578556965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578556965 |
| Entity Type | Individual |
| Full Name | NANCY ALSTON |
| Credential | MD |
| Practice Address |
Pocatello (isu) Family Medicine 465 Memorial Drive Pocatello ID 83209-0001 |
| Practice Telephone | 2082824700 |
| Practice Fax Number | 2082824696 |
| Mailing Telephone | 2082824700 |
| Mailing Fax Number | 2082824696 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2011-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | M7174 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
POCATELLO (ISU) FAMILY MEDICINE 465 MEMORIAL DRIVE |
| City | POCATELLO |
| State | ID |
| Zip Code | 83209-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144213554 | Jonathan Cree | Family Medicine | Pocatello (isu) Family Medicine, 465 Memorial Drive, Pocatello, ID 83209-0001 | 2005-08-31 |
| 1487649141 | Jean M Bokelmann | Family Medicine | Pocatello (isu) Family Medicine, 465 Memorial Drive, Pocatello, ID 83209-0001 | 2005-09-19 |
| 1538153770 | Lee Ann Roberts Abraszewski | Nurse Practitioner | Pocatello (isu) Family Medicine, 465 Memorial Drive, Pocatello, ID 83209-0001 | 2005-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093097081 | Eydie Kendall | Physical Therapist | 1400 Terry Drive, Pocatello, ID 83209 | 2011-09-15 |
| 1548548589 | Corrie Elizabeth Holmes | Audiologist | 650 Memorial Drive Building 68, Pocatello, ID 83209 | 2011-07-25 |
| 1730351081 | Idaho State University | Pharmacy | 990 South 8th, Pocatello, ID 83209 | 2008-03-27 |
| 1922204551 | Melody Ann Weaver | Nurse Practitioner | 921 S 8th Ave Stop 8101, Pocatello, ID 83209 | 2007-06-21 |
| 1710482500 | Ashley Letson | Specialist/Technologist | 921 S 8th Ave, Mcintosh Manor D9, Pocatello, ID 83209 | 2018-03-26 |
| 1407261407 | Stephen B Grandy | Dentist | 465 Memorial Drive, Pocatello, ID 83209-0000 | 2014-06-27 |
| 1811595929 | Idaho State University | Counselor | 1400 E Terry Dr Bldg 63, Pocatello, ID 83209-0001 | 2020-10-12 |
| 1174149389 | Santiago A Segura Barron | Specialist/Technologist | Holt Arena 550 Memorial Drive Building 50, Pocatello, ID 83209-0001 | 2020-06-23 |
| 1639658248 | Luis Rodriguez | Psychologist | 1400 Eas Terry Dr Bldg 63 Garrison Hall 5th Floor, Pocatello, ID 83209-0001 | 2018-08-14 |
| 1205384484 | Max Esposito | Physical Medicine & Rehabilitation | 1400 E Terry Dr, Pocatello, ID 83209-0001 | 2016-09-15 |
| Find all providers in zip 83209 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891234332 | Clair Enterprises Inc | Family Medicine | 2552 Oneida St, Pocatello, ID 83201-2145 | 2017-02-16 |
| 1124406186 | Michael A Anderson | Family Medicine | 1000 Pocatello Creek Rd Ste E10, Pocatello, ID 83201-2953 | 2015-05-11 |
| 1093078578 | Sharla Clark | Family Medicine | 1951 Bench Road, Suite B, Pocatello, ID 83201-4008 | 2012-06-20 |
| 1508194580 | Jared M Kam | Family Medicine | 353 N 4th Ave Ste 102, Pocatello, ID 83201-6391 | 2009-12-02 |
| 1417118787 | Lavonne R. Mills, Md | Family Medicine | 3307 N Stephanie Rd, Pocatello, ID 83204-7285 | 2008-06-19 |
| 1801926035 | Jack Pearson Summers | Family Medicine | 5418 W Buckskin Rd, Pocatello, ID 83201-9126 | 2007-03-06 |
| 1053483669 | Mountain View Family Medicine, Inc | Family Medicine | 2006 Birdie Thompson Dr, Pocatello, ID 83201-2768 | 2006-11-15 |
| 1093884363 | Jared Michael Price | Family Medicine | 1951 Bench Rd Ste B, Pocatello, ID 83201-2073 | 2006-11-08 |
| 1225124936 | Jordan Lyle Bailey | Family Medicine | 151 N 4th Ave, Suite B, Pocatello, ID 83201-6300 | 2006-10-04 |
| 1396796199 | Gary Walker Kearl | Family Medicine | 444 Hospital Way Suite 801, Pocatello Va Outpatiend Clinic, Pocatello, ID 83201 | 2006-05-15 |
| Find all providers in POCATELLO | ||||
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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.