MRS. STACI DAWN ELLIS


Address: 1529 Belmont St, Boise, ID 83725-0001
Phone: 2084261459

MRS. STACI DAWN ELLIS (NPI# 1639519044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639519044
Entity Type Individual
Full Name MRS. STACI DAWN ELLIS
Credential LMT
Practice Address 1529 Belmont St
Boise
ID 83725-0001
Mailing Address 3612 N Summercrest Pl
Meridian
ID 83646-7780
Practice Telephone 2084261459
Mailing Telephone 2083214701
Enumeration Date 2013-06-29
Last Update Date 2013-06-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist MASG-217 ID Other Service Providers

Other Providers STACI ELLIS

NPI Name Taxonomy Address Enumeration
1376543884 Staci Gaye Ellis Physical Therapist 7308 Bridgeport Way W Ste 103, Lakewood, WA 98499-8000 2005-07-26

Office Location

Street Address 1529 BELMONT ST
City BOISE
State ID
Zip Code 83725-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497040521 Matt Niece Counselor 1529 Belmont St, Boise, ID 83725-1351 2011-06-16
1396398327 Ericka Obaitek Social Worker 1529 Belmont St, Boise, ID 83706-8370 2019-07-18
1043871668 Nathan Fauntleroy Social Worker 1529 Belmont St, Boise, ID 83706 2019-06-25
1750947701 Monique Victoria Barber Counselor 1529 Belmont St, Boise, ID 83725-0001 2019-05-15
1336633247 Natalie Anne Day Social Worker 1529 Belmont St, Boise, ID 83706 2018-06-15
1649793738 Jessica Rae Kirwan Counselor 1529 Belmont St, Boise, ID 83706 2017-07-20
1215363353 Maya Schimpf Nurse Practitioner 1529 Belmont St, Boise, ID 83725-1351 2013-09-20
1033551015 Tanna Susan Willis Massage Therapist 1529 Belmont St, Boise, ID 83725-0001 2013-07-19
1265783419 B Gary Bell Clinic/Center 1529 Belmont St, Boise, ID 83725-0001 2012-09-27
1588912661 Natalie G Linhart Counselor 1529 Belmont St, Boise, ID 83725-0001 2012-08-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194276550 Dylan E Schmick Specialist/Technologist 1910 University Drive, Boise, ID 83725 2016-10-20
1770183089 Boise State University Clinical Medical Laboratory Bsu Science Bld Room 239 2133 W Cesar Chavez Ln, Boise, ID 83725-0001 2020-10-27
1386053213 Keita Shimada Specialist 1910 University Dr # Ms 1020, Boise, ID 83725-0001 2014-08-05
1275815904 Christian Gelok Nurse Practitioner 1910 University Dr # Ms 1351, Boise, ID 83725-0001 2011-09-20
1750680849 Alison Radcliffe Psychologist 1529 S Belmont St, Boise, ID 83725-0001 2011-03-15
1336477207 Rd Boardman Psychologist Health Services 1529 Belmont St, Boise, ID 83725-0001 2009-12-03
1194865444 Boise State Health Center Clinic/Center 2103 University Dr, Boise, ID 83725-0001 2007-02-07
1033154802 James Floyd Spooner Specialist/Technologist Boise State University, 1910 University Dr, Boise, ID 83725-0001 2006-06-17
1700359916 Taylor Lannea Aylsworth-hayfield Specialist/Technologist 1910 University Dr, Boise, ID 83725-0001 2019-01-10
1275071110 Savannah Knighton Specialist/Technologist 1910 University Dr, Boise, ID 83725-0001 2017-02-10
Find all providers in zip 83725

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851855803 Lauren Rybarczyk Specialist 11498 W Carmichael Dr, Boise, ID 83709-7382 2019-01-24
1851834311 Tegan Shuman Specialist 7307 W San Fernando Dr, Boise, ID 83704-5953 2016-11-30
1952768145 Katie Garcin Specialist 1407 E Boston Dr, Boise, ID 83706 2016-01-20
1093119042 Robert Porter II Specialist 1346 E Candleridge Dr, Boise, ID 83712-6504 2014-10-20
1760885073 Kelcee Keyes Specialist 1705 N Cole Rd, Boise, ID 83704-7304 2014-09-30
1386053213 Keita Shimada Specialist 1910 University Dr # Ms 1020, Boise, ID 83725-0001 2014-08-05
1316373186 Ralph V Nishitani Specialist 9317 W Pandion Ct, Boise, ID 83714-6715 2013-09-24
1548608094 James Doyce Strong Jr. Specialist 3675 S Pimmit Ave, Boise, ID 83706-6416 2013-06-06
1649409269 Iris Ginron Baker Specialist 3555 N Cole Rd, 105, Boise, ID 83704-0733 2009-07-02
1356589931 Jay T. Ballhagen Specialist 10500 W Waterway Ct, Boise, ID 83714-3616 2009-02-04
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Competitor

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City BOISE
Zip Code 83725

Improve Information

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Dataset Information

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.

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