MR. KADE DOUGLAS ANDERSON (NPI# 1699043315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699043315 |
| Entity Type | Individual |
| Full Name | MR. KADE DOUGLAS ANDERSON |
| Credential | P.A. |
| Practice Address |
1970 E 17th St Suite 202 Idaho Falls ID 83404-8048 |
| Practice Telephone | 2085235319 |
| Practice Fax Number | 2085235627 |
| Mailing Telephone | 2085235319 |
| Mailing Fax Number | 2085235627 |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-950 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
PA-950 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
PA-950 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
PA-950 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942748934 | Kade Anderson | Physical Therapist | 1444 Falls Ave E, Twin Falls, ID 83301-3408 | 2017-02-09 |
| Street Address |
1970 E 17TH ST SUITE 202 |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-8048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619162385 | Rachel Adams | Nurse Practitioner | 1970 E 17th St, Suite 202, Idaho Falls, ID 83404-8014 | 2007-09-06 |
| 1407224744 | Addiction and Trauma Recovery Pllc | Community/Behavioral Health | 1970 E 17th St, #208, Idaho Falls, ID 83404-8014 | 2015-09-03 |
| 1124429006 | Kathleen Palmer | Counselor | 1970 E 17th St, Ste. 202, Idaho Falls, ID 83404-8014 | 2014-09-10 |
| 1407268824 | Badger Inc. | Community/Behavioral Health | 1970 E 17th St, Ste. 202, Idaho Falls, ID 83404-8014 | 2014-05-21 |
| 1396176582 | Badger Inc. | Clinic/Center | 1970 E 17th St, Ste 202, Idaho Falls, ID 83404-8014 | 2013-12-12 |
| 1801223946 | Heather A Moore | Registered Nurse | 1970 E 17th St, Ste. 207, Idaho Falls, ID 83404-8014 | 2013-10-03 |
| 1730520412 | Premium Choice Homecare | In Home Supportive Care | 1970 E 17th St, Suite 207, Idaho Falls, ID 83404-8014 | 2013-07-10 |
| 1770825499 | Cindy Quinn | Counselor | 1970 E 17th St, Suite 202, Idaho Falls, ID 83404-8014 | 2013-03-20 |
| 1457698565 | Badger Inc. | Clinic/Center | 1970 E 17th St, Suite 202, Idaho Falls, ID 83404-8014 | 2013-01-09 |
| 1164781647 | Sue P Rosenbaum | Social Worker | 1970 E 17th St, Suite 202, Idaho Falls, ID 83404-8014 | 2012-05-03 |
| Find all providers in the same location | ||||
| 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 | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669408860 | Jane E Seys | Clinical Nurse Specialist | 13500 S. Pleasant Valley Rd, Idaho State Correctional Institution, Kuna, ID 83634 | 2006-06-23 |
| 1942201520 | Mary A Curtis | Clinical Nurse Specialist | 8100 W Emerald St, Suite 150, Boise, ID 83704-9055 | 2005-08-09 |
| 1952622524 | Affinity, Inc. | Clinical Nurse Specialist | 8100 W Emerald St Ste 150, Boise, ID 83704-9057 | 2010-06-18 |
| 1871753061 | Elisabeth Gayle Kinghorn | Clinical Nurse Specialist | 651 Memorial Dr, Pocatello, ID 83201-4071 | 2008-06-11 |
| 1083880181 | Judith Eileen Sullivan | Clinical Nurse Specialist | 223 W State St, Boise, ID 83702-6013 | 2008-05-08 |
| 1619998713 | Connie J Judd | Clinical Nurse Specialist | 223 16th Ave N, Nampa, ID 83687-4058 | 2006-07-22 |
| 1316996309 | Deborah Gay Butte | Clinical Nurse Specialist | 300 S 23rd St, Boise, ID 83702-9100 | 2006-05-08 |
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on MR. KADE DOUGLAS ANDERSON.
| 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.