LYNNELLE KING (NPI# 1619591054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619591054 |
| Entity Type | Individual |
| Full Name | LYNNELLE KING |
| Credential | IBCLC |
| Practice Address |
457 S Fitness Pl Eagle ID 83616-6568 |
| Mailing Address |
Po Box 2681 Eagle ID 83616-9122 |
| Practice Telephone | 2088560564 |
| Mailing Telephone | 2088560564 |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | L-67377 | ID | Other Service Providers |
| Street Address |
457 S FITNESS PL |
| City | EAGLE |
| State | ID |
| Zip Code | 83616-6568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386758464 | Sarah Jo Graham | Physical Therapist | 457 S Fitness Pl, Suite 100, Eagle, ID 83616-6568 | 2006-08-18 |
| 1497842926 | Staci Celeste Woods | Physical Therapist | 457 S Fitness Pl, Suite 100, Eagle, ID 83616-6568 | 2006-10-06 |
| 1750478327 | Eagle Physical Therapy Pa | Physical Therapist | 457 S Fitness Pl, Suite 100, Eagle, ID 83616-6568 | 2006-10-06 |
| 1972690493 | Patricia Ann Toshcoff | Physical Therapist | 457 S Fitness Pl, Suite 100, Eagle, ID 83616-6568 | 2006-10-06 |
| 1356438881 | Kara Maria Katzenmeyer | Occupational Therapist | 457 S Fitness Pl, Suite 100, Eagle, ID 83616-6568 | 2006-10-06 |
| 1598852139 | Randall Keith Langley | Physical Therapist | 457 S Fitness Pl, Suite 100, Eagle, ID 83616-6568 | 2006-10-06 |
| 1679669436 | Steven Gale Yuly | Physical Therapist | 457 S Fitness Pl, Suite 100, Eagle, ID 83616-6568 | 2006-10-05 |
| 1144335860 | Anthony Todd Peppley | Physical Therapist | 457 S Fitness Pl, Suite 100, Eagle, ID 83616-6568 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
| 1861922627 | Nicholas A. Stelzner | Counselor | 2419 W. State St. Suite 8, Boise, ID 83616 | 2017-06-14 |
| 1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
| 1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
| 1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
| 1043552524 | Tori Croshaw | Social Worker | 372 S Eagle Rd Ste 190, Eagle, ID 83616 | 2013-03-21 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1437494457 | Mary Beth Roehling | Nurse Practitioner | 2040 E Hologate Ct, Eagle, ID 83616 | 2012-12-03 |
| Find all providers in zip 83616 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205314606 | Melanie Henstrom | Lactation Consultant, Non-RN | 6689 E Playwright Dr, Boise, ID 83716-5831 | 2018-07-30 |
| 1710419676 | Nicole Chamberlain | Lactation Consultant, Non-RN | 1214 Alder St, Sandpoint, ID 83864-1871 | 2017-03-30 |
| 1629513940 | Kelly Sorensen | Lactation Consultant, Non-RN | 23582 Rapalla Ct, Athol, ID 83801-7002 | 2016-12-21 |
| 1801253653 | Jennifer C Mcintosh | Lactation Consultant, Non-RN | 16515 N Rimrock Rd, Hayden, ID 83835-7854 | 2016-01-25 |
| 1699017764 | Amy S Peterson | Lactation Consultant, Non-RN | 805 4th Ave Dr, Jerome, ID 83338-2104 | 2013-03-26 |
Please comment or provide details below to improve the information on LYNNELLE KING.
| 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.