MS. SHIRLEY EDNA VANZANDT (NPI# 1700076312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700076312 |
| Entity Type | Individual |
| Full Name | MS. SHIRLEY EDNA VANZANDT |
| Credential | CRNP |
| Practice Address |
3025 W Cherry Lane Ste B Meridian ID 83642-8531 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2083026400 |
| Practice Fax Number | 2083026455 |
| Mailing Telephone | 2083026400 |
| Mailing Fax Number | 2083026455 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2016-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
NP-1394A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R090943 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3025 W CHERRY LANE STE B |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-8531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124092101 | Albert Donald Bickford | Physician Assistant | 3025 W Cherry Lane, Ste B, Meridian, ID 83642-1026 | 2006-02-15 |
| 1639680051 | Chad Dennis Talford | Physician Assistant | 3025 W Cherry Lane, Meridian, ID 83642 | 2017-10-12 |
| 1326590498 | Katrina Merrell | Physician Assistant | 3025 W Cherry Lane, Ste B, Meridian, ID 83642 | 2016-10-25 |
| 1710438874 | Carin Bohan | Physician Assistant | 3025 W Cherry Lane, Ste B, Meridian, ID 83642 | 2016-10-24 |
| 1366993883 | Nathan James Richard | Physician Assistant | 3025 W Cherry Lane, Ste B, Meridian, ID 83642 | 2016-10-19 |
| 1629446661 | Lori Katherine Ebinger | Physician Assistant | 3025 W Cherry Lane, Ste B, Meridian, ID 83642 | 2015-09-08 |
| 1033504147 | Aaron Dunham | Psychiatry & Neurology | 3025 W Cherry Lane, Ste 204, Meridian, ID 83642 | 2015-04-06 |
| 1508142613 | Kristina Huffaker | Physician Assistant | 3025 W Cherry Lane, Ste B, Meridian, ID 83642 | 2011-11-02 |
| 1629201249 | Cory M Martin | Physician Assistant | 3025 W Cherry Lane, Ste B, Meridian, ID 83642 | 2009-08-30 |
| 1659504314 | Mark B Cheney | Family Medicine | 3025 W Cherry Lane, Meridian, ID 83642 | 2009-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326513920 | Jacquelyn Bruner Ray | Nurse Practitioner | 6102 11th Ave, Meridian, MS 39305-1219 | 2018-10-10 |
| 1952883571 | Ana Linda Laborde | Nurse Practitioner | 4528 N Bright Angel Ave, Meridian, ID 83646-3655 | 2018-08-30 |
| 1245690544 | Olde Town Medical | Nurse Practitioner | 124 E Pine Ave, Meridian, ID 83642-2331 | 2016-02-29 |
| 1386813632 | Mary Ann Howell | Nurse Practitioner | 2340 N Hills St, Ste F, Meridian, MS 39305-2651 | 2008-02-20 |
| 1356976039 | Julianne Hollist | Nurse Practitioner | 55 W Willowbrook Dr Ste 103, Meridian, ID 83646-3242 | 2020-03-03 |
| 1568911527 | Jenna Harper | Nurse Practitioner | 2124 14th St, Meridian, MS 39301-4040 | 2016-09-30 |
| 1942659735 | Lindsey Rigdon | Nurse Practitioner | 2124 14th St, Meridian, MS 39301-4040 | 2016-06-13 |
| 1609232123 | Vickie L Warren | Nurse Practitioner | 4555 Highland Park Dr, Meridian, MS 39307-5429 | 2016-01-13 |
| 1710227905 | Casey Tillery | Nurse Practitioner | 1600 22nd Ave, Medical Towers IIi, Meridian, MS 39301-3223 | 2013-02-25 |
| 1992787907 | Cynthia H. Luther | Nurse Practitioner | 4331 Highway 39 N, Meridian, MS 39301-1007 | 2005-11-16 |
| Find all providers in MERIDIAN | ||||
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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.