COLETTE EGBERT (NPI# 1649774860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649774860 |
| Entity Type | Individual |
| Full Name | COLETTE EGBERT |
| Credential | FNP-C |
| Practice Address |
3320 S 25th E Idaho Falls ID 83404-4606 |
| Mailing Address |
2908 N Azure Dr Idaho Falls ID 83401-5065 |
| Practice Telephone | 2086561500 |
| Mailing Telephone | 2083907909 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
58152 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | NP LICENSE | 58152 | 01 |
| Street Address |
3320 S 25TH E |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-4606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467770792 | Lindsay Venn | Dietitian, Registered | 3320 S 25th E, Idaho Falls, ID 83404 | 2010-05-11 |
| 1346727153 | Drue Marie Winder | Nurse Practitioner | 3320 S 25th E, Idaho Falls, ID 83404-4606 | 2018-07-24 |
| 1184124703 | Viki Ann Bailey | Nurse Practitioner | 3320 S 25th E, Idaho Falls, ID 83404 | 2018-02-20 |
| 1922513886 | Kristie Glen Karroum | Nurse Practitioner | 3320 S 25th E, Idaho Falls, ID 83404-4606 | 2017-12-13 |
| 1043722259 | Just 4 Kids Urgent Care LLC | Clinic/Center | 3320 S 25th E, Idaho Falls, ID 83404-4606 | 2017-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740750710 | Nurture Lactation Support for Women & Infants | Nurse Practitioner | 5480 Gleneagles Dr, Idaho Falls, ID 83401-6315 | 2018-12-03 |
| 1790291276 | Bee Happy Pediatrics | Nurse Practitioner | 3412 South 25th East, Idaho Falls, ID 83406-4967 | 2017-12-20 |
| 1346727153 | Drue Marie Winder | Nurse Practitioner | 3320 S 25th E, Idaho Falls, ID 83404-4606 | 2018-07-24 |
| 1922513886 | Kristie Glen Karroum | Nurse Practitioner | 3320 S 25th E, Idaho Falls, ID 83404-4606 | 2017-12-13 |
| 1720312523 | Heather Anne Bagley | Nurse Practitioner | 3430 Washington Pkwy, The Pediatric Center, Idaho Falls, ID 83404-7579 | 2009-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959100 | Taylor Frances Mello | Nurse Practitioner | 2770 N Woodview Pl, Boise, ID 83702-6541 | 2020-07-17 |
| 1275192205 | Luna Hodges | Nurse Practitioner | 125 E Idaho St Ste 200, Boise, ID 83712-6225 | 2019-06-12 |
| 1376700799 | Monica Hermine Mccullough | Nurse Practitioner | 3525 E Louise Dr Ste 250, Meridian, ID 83642-6303 | 2008-05-22 |
| 1568679603 | Kathleen Bridget Marshall | Nurse Practitioner | 717 Mission Rd., Fort Hall, ID 83203-0717 | 2007-05-17 |
| 1073675617 | Leona Jo'anne' Church | Nurse Practitioner | 1655 W Fairview Ave Ste 206, Boise, ID 83702-5190 | 2006-12-13 |
| 1861477838 | Margaret Anne Fry Lawson | Nurse Practitioner | 637 E Deer Flat Rd, Kuna, ID 83634-3444 | 2005-12-13 |
| 1164411864 | Nancy Norine Miller | Nurse Practitioner | 925 W 1st St, Meridian, ID 83642 | 2005-10-17 |
| 1033102579 | Karen L Godard | Nurse Practitioner | 1305 3rd St S, Nampa, ID 83651-3903 | 2005-08-30 |
| 1386204758 | Aimee Lynn Hastriter | Nurse Practitioner | 125 E Idaho St Ste 200, Boise, ID 83712-6225 | 2019-06-18 |
| 1659844066 | Rachel Bentley | Nurse Practitioner | 1072 N Liberty St Ste 200, Boise, ID 83704-8963 | 2019-01-08 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
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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.