KELLI JEAN CORNWALL (NPI# 1578691036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578691036 |
| Entity Type | Individual |
| Full Name | KELLI JEAN CORNWALL |
| Credential | CFA |
| Practice Address |
6140 Curtisian Ave Ste 102 Boise ID 83704-0109 |
| Practice Telephone | 2083672834 |
| Practice Fax Number | 2083674227 |
| Mailing Telephone | 2083672834 |
| Mailing Fax Number | 2083674227 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
86169 | ID | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS | SA024 | 01 |
| Street Address |
6140 CURTISIAN AVE STE 102 |
| City | BOISE |
| State | ID |
| Zip Code | 83704-0109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 246ZS0410X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Technologist |
| Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
| Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871614404 | Lee Ann Hart | Specialist/Technologist, Other | 900 N Liberty St Ste 400, Boise, ID 83704-8707 | 2007-04-02 |
| 1770622946 | Nancy M Coonan | Specialist/Technologist, Other | 901 N Curtis Rd Ste 104, Boise, ID 83706-1339 | 2007-02-05 |
| 1730247719 | Stacy A Fitzgerald | Specialist/Technologist, Other | 4887 Wymosa St, Boise, ID 83703-4359 | 2006-12-04 |
| 1811407299 | Amy Wood | Specialist/Technologist, Other | 900 N Liberty St Ste 400, Boise, ID 83704-8707 | 2017-10-11 |
| 1962851980 | Stephanie Victoria Perkins | Specialist/Technologist, Other | 222 N 2nd St, Boise, ID 83702-6109 | 2016-06-09 |
| 1720461759 | Tawnya M Moeller | Specialist/Technologist, Other | 901 N Curtis Rd, Ste 304, Boise, ID 83706-1338 | 2015-07-08 |
| 1932582954 | Sarah L Aguirre-kuester | Specialist/Technologist, Other | 901 N Curtis Rd, Ste 304, Boise, ID 83706-1338 | 2015-07-08 |
| 1245569888 | John E Nock | Specialist/Technologist, Other | 901 N Curtis Rd, Suite 501, Boise, ID 83706-1338 | 2009-12-10 |
| 1689806663 | Stephanie Lyssa Hope | Specialist/Technologist, Other | 1075 N Curtis Rd, Suite 300, Boise, ID 83706-1300 | 2009-08-10 |
| 1336371319 | Leslie Ann Stout | Specialist/Technologist, Other | 1075 N Curtis Rd, Suite 300, Boise, ID 83706-1300 | 2009-08-10 |
| 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.