ANTHONY NELSON (NPI# 1700294923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700294923 |
| Entity Type | Individual |
| Full Name | ANTHONY NELSON |
| Credential | PHARM.D. |
| Practice Address |
500 W Fort St Boise ID 83702-4501 |
| Practice Telephone | 2084221000 |
| Mailing Telephone | 2084221000 |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
P7042 | ID | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932359304 | Anthony Ray Nelson | Dentist | 1413 S 2nd St, Monroe, LA 71202-2739 | 2008-09-23 |
| 1467530576 | Anthony A Nelson | Specialist | 71780 San Jacinto Drive, Suite B3, Rancho Mirage, CA 92270-1092 | 2006-11-02 |
| 1295286052 | Anthony Nelson | Registered Nurse | 222 E Ridge Rd, Suite 204, Mcallen, TX 78503-1251 | 2016-10-17 |
| 1720532617 | Anthony Stewart Nelson | Nurse Practitioner | 7495 S State St, Midvale, UT 84047-2013 | 2016-08-08 |
| 1720324007 | Anthony Rochell Nelson Sr. | Social Worker | 4900 Broad River Rd, Columbia, SC 29212-3531 | 2012-12-14 |
| 1053696344 | Anthony Dominic Nelson | Physician Assistant | 16390 N 59th Ave, Suite 200, Glendale, AZ 85306 | 2011-10-18 |
| 1669695805 | Anthony Carl Nelson | Surgery | 201 N Mayfair Rd Fl 2, Wauwatosa, WI 53226-4216 | 2007-04-10 |
| Street Address |
500 W FORT ST |
| City | BOISE |
| State | ID |
| Zip Code | 83702-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063411007 | Sandra Gee Jue | Pharmacist | 500 W Fort St, Bldg 44a, Boise, ID 83702-4501 | 2005-07-20 |
| 1952902389 | Christine Alice Walsh | Recreation Therapist | 500 W Fort St, Boise, ID 83702-4501 | 2020-11-03 |
| 1386243160 | Elizabeth Larsen | Registered Nurse | 500 W Fort St, Boise, ID 83702-4598 | 2020-10-22 |
| 1013516293 | Rebecca Cotterell | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-10-20 |
| 1487253670 | Morgan Wussow | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-10-20 |
| 1548867435 | Justin Hyer | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-10-05 |
| 1881209336 | Daniel James Councell | Physician Assistant | 500 W Fort St, Boise, ID 83702-4501 | 2020-09-11 |
| 1508470451 | Marcus J Day | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-09-08 |
| 1386258291 | Vanessa Potoski | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-09-08 |
| 1033723788 | Brian Lynn Lambrecht | Licensed Practical Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417595067 | Teresa Janeen Newsom | Pharmacist | 2840 S Swallowtail Ln, Boise, ID 83706-6138 | 2019-12-13 |
| 1932496650 | Charlotte Loring | Pharmacist | 909 E Park Center B;vd, Boise, ID 83706 | 2011-07-01 |
| 1700435542 | Kaitlyn Marie Holyfield | Pharmacist | 500 W Fort St, Boise, ID 83702-4501 | 2019-09-04 |
| 1861904153 | Emily Muehlhausen | Pharmacist | 5005 W Overland Rd, Boise, ID 83705-2633 | 2017-10-26 |
| 1619350139 | Sarah Mcclain | Pharmacist | 500 W Fort St, Boise, ID 83702-4501 | 2015-07-01 |
| 1043693609 | Laura Schultz | Pharmacist | 500 W Fort St, Boise, ID 83702-4501 | 2015-07-01 |
| 1508245937 | Jefferson Bohan | Pharmacist | 500 W Fort St, Buildling T111, Boise, ID 83702-4501 | 2015-05-19 |
| 1013339415 | Lynnan Nielson | Pharmacist | 10255 W Overland Rd, Boise, ID 83709-1430 | 2014-01-20 |
| 1255670683 | Savon Pharmacy | Pharmacist | 1653 S Vista Ave, Pharmacy, Boise, ID 83705-3172 | 2013-02-05 |
| 1609110089 | Joshua M Gerving | Pharmacist | 500 W Fort St, Boise, ID 83702-4501 | 2012-11-26 |
| Find all providers in BOISE | ||||
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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.