KATHY D ARCHIBALD (NPI# 1720230766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720230766 |
| Entity Type | Individual |
| Full Name | KATHY D ARCHIBALD |
| Credential | GCNS |
| Practice Address |
2302 E Terry St Pocatello ID 83201-2733 |
| Mailing Address |
Po Box 335 Pocatello ID 83204-0335 |
| Practice Telephone | 2082355910 |
| Practice Fax Number | 2082355920 |
| Mailing Telephone | 2082355910 |
| Mailing Fax Number | 2082355920 |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2012-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
CNS45A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2302 E TERRY ST |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-2733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255705786 | Bmh, Inc | Internal Medicine | 2302 E Terry St, Pocatello, ID 83201-2733 | 2015-11-20 |
| 1922431345 | Misty A Roberts | Dietitian, Registered | 2302 E Terry St, Pocatello, ID 83201-2733 | 2013-08-21 |
| 1568807386 | Jessica Horst | Nurse Practitioner | 2302 E Terry St, Suite A, Pocatello, ID 83201-2733 | 2013-05-07 |
| 1285936781 | Bmh Inc. | Clinic/Center | 2302 E Terry St, Pocatello, ID 83201-2733 | 2010-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275836157 | Debra Lynn Rodriguez | Clinical Nurse Specialist | 777 Hospital Way, Pocatello, ID 83201-5162 | 2010-12-14 |
| 1902039951 | Cynthia Love Barron | Clinical Nurse Specialist | 777 Hospital Way Bldg A, 101, Pocatello, ID 83201-2753 | 2009-08-25 |
| 1659540292 | Pocatello Cardiology Associates | Clinical Nurse Specialist | 777 Hospital Way Bldg A, Ste. 101, Pocatello, ID 83201-2753 | 2008-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548549249 | College of Western Idaho-medical Express Care Clinic | Clinical Nurse Specialist | 2407 Nampa Caldwell Blvd, No. 168, Nampa, ID 83651-1515 | 2011-08-11 |
| 1043512692 | Abigail Louise Bell | Clinical Nurse Specialist | 801 Pole Line Rd W Ste 3810, Twin Falls, ID 83301-5811 | 2010-12-01 |
| 1467064568 | Rick D Bassett | Clinical Nurse Specialist | 720 E Park Blvd, Boise, ID 83712-7758 | 2020-08-19 |
| 1306274006 | Jocelyn L Mccullough | Clinical Nurse Specialist | 6140 W Curtisian, Ste 200, Boise, ID 83704 | 2013-10-16 |
| 1447598016 | Christine Clair Shirazi | Clinical Nurse Specialist | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2013-01-16 |
| 1962709550 | Jane Kelsey Spencer | Clinical Nurse Specialist | 1072 N Liberty St, Suite 303, Boise, ID 83704-2800 | 2011-02-17 |
| 1548493521 | Brenda Bergholm | Clinical Nurse Specialist | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2009-08-25 |
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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.