MR. SHENANDOAH LAYNE TROUMBLEY (NPI# 1619037033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619037033 |
| Entity Type | Individual |
| Full Name | MR. SHENANDOAH LAYNE TROUMBLEY |
| Credential | D.C. C.N.I.M. |
| Practice Address |
43 S 300 E Preston ID 83263-1318 |
| Practice Telephone | 7345453896 |
| Mailing Telephone | 7345453896 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2016-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | CHIA-1091 | ID | Chiropractic Providers |
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE SHEILD OF IDAHO | 000010148066 | 01 |
| ID | BLUE CROSS OF IDAHO | C4785 | 01 |
| ID | 806965100 | 05 |
| Street Address |
43 S 300 E |
| City | PRESTON |
| State | ID |
| Zip Code | 83263-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447735493 | Marie Luke | Massage Therapist | 8 South State, Preston, ID 83263 | 2018-09-26 |
| 1881945921 | Michael David Earley | Chiropractor | 645 N State St, Preston, ID 83263 | 2012-09-28 |
| 1184872632 | Joel Thomas Webb | Physician Assistant | 47 N 1st E, Preston, ID 83263 | 2008-09-08 |
| 1245490390 | Daniel Yugi Patten | Family Medicine | 47 N. 1st E., Preston, ID 83263 | 2008-06-12 |
| 1144313610 | Tifani Waechtler | Physical Therapist | 43 North 100 East, Preston, ID 83263 | 2006-10-02 |
| 1215035969 | Larry's Family Pharmacy, Inc. | Pharmacist | 217 South State St., Preston, ID 83263 | 2006-09-20 |
| 1801909122 | David Bradley Beckstead | Family Medicine | 41 North 1 East, Preston, ID 83263 | 2006-08-17 |
| 1922022482 | Alan D Holt | Nurse Anesthetist, Certified Registered | 44 North 100 East, Preston, ID 83263 | 2006-07-27 |
| 1780979914 | Stuart G Knapp | Family Medicine | 47 N 1st E, Preston, ID 83263 | 2011-06-15 |
| 1104135326 | Chantee I Wyatt | Physician Assistant | 47 N 1st E, Preston, ID 83263 | 2010-10-05 |
| Find all providers in zip 83263 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174068282 | Jeff Conlon | Specialist/Technologist, Other | 12290 W Gregory Dr, Boise, ID 83709-6523 | 2016-12-28 |
| 1609240233 | Brien Pittman | Specialist/Technologist, Other | 784 S Clearwater Loop, Post Falls, ID 83854-9599 | 2015-11-19 |
| 1508232604 | Patricia Ann Wilson | Specialist/Technologist, Other | 1019 Sagewood Pl, Pocatello, ID 83201-2729 | 2015-08-12 |
| 1932585627 | Shawn Satterthwaite | Specialist/Technologist, Other | 215 Spruce St, Shelley, ID 83274-1441 | 2015-08-04 |
| 1306243621 | Richard Bishop | Specialist/Technologist, Other | 13748 S Morningside St, Nampa, ID 83651-5091 | 2014-12-02 |
| 1841547395 | Intra-operative Monitoring Innovations | Specialist/Technologist, Other | 1376 Fillmore Street Pmb 5757, Twin Falls, ID 83303-5757 | 2012-08-14 |
| 1336475516 | Intermountain Neurodiagnostics Inc | Specialist/Technologist, Other | 4596 Mccowin Ln, Idaho Falls, ID 83406-8350 | 2009-10-23 |
| 1063958643 | Wendy Hunter | Specialist/Technologist, Other | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2017-01-06 |
| 1346304409 | Dottie Peck | Specialist/Technologist, Other | 1361 Cambridge Dr, Idaho Falls, ID 83401-4208 | 2006-12-21 |
Please comment or provide details below to improve the information on MR. SHENANDOAH LAYNE TROUMBLEY.
| 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.