GAYLE MATSUMURO


Address: 413 N Allumbaugh St Ste 101, Boise, ID 83704-9219
Phone: 2083231125

GAYLE MATSUMURO (NPI# 1730712266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730712266
Entity Type Individual
Full Name GAYLE MATSUMURO
Other Name GAYLE MATSUMURO
Practice Address 413 N Allumbaugh St Ste 101
Boise
ID 83704-9219
Practice Telephone 2083231125
Practice Fax Number 2083231905
Mailing Telephone 2083231125
Mailing Fax Number 2083231905
Enumeration Date 2020-02-12
Last Update Date 2020-04-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 26983 ID Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
64061 ID Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 413 N ALLUMBAUGH ST STE 101
City BOISE
State ID
Zip Code 83704-9219

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720170228 John Robert Bates Psychiatry & Neurology 413 N Allumbaugh St Ste 101, Boise, ID 83704-9219 2006-09-29
1861001687 Jcw Psychiatry Pllc Psychiatry & Neurology 413 N Allumbaugh St Ste 101, Boise, ID 83704-9219 2020-07-28
1598391278 Incline Mental Health Pllc Clinic/Center 413 N Allumbaugh St Ste 101, Boise, ID 83704-9219 2020-03-13
1568025336 Northwest Telepsychiatry, PC Psychiatry & Neurology 413 N Allumbaugh St Ste 101, Boise, ID 83704-9219 2019-04-17
1669953675 Albert Aquinas Darakjy Physician Assistant 413 N Allumbaugh St Ste 101, Boise, ID 83704-9219 2018-08-27
1285121830 Yavruian Associates, Pllc Psychiatry & Neurology 413 N Allumbaugh St Ste 101, Boise, ID 83704-9219 2018-04-19
1174031736 Hamilton Warren-sutton, Md, Pllc Psychiatry & Neurology 413 N Allumbaugh St Ste 101, Boise, ID 83704-9219 2018-01-17
1619487345 Michelle Therese Cullinan Nurse Practitioner 413 N Allumbaugh St Ste 101, Boise, ID 83704-9219 2017-10-09
1801306873 Richard J. Pines, D.o., Pllc Psychiatry & Neurology 413 N Allumbaugh St Ste 101, Boise, ID 83704-9219 2017-10-04
1902345051 Treasure Valley Tms Pllc Psychiatry & Neurology 413 N Allumbaugh St Ste 101, Boise, ID 83704-9219 2017-02-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215535893 Laura Diggs Counselor 400 North Benjamin Lane, Suite 200, Boise, ID 83704 2020-10-15
1891304002 Tree City Family Dental Dentist 7301 W. Emerald St Ste. 102, Boise, ID 83704 2020-07-24
1982230710 Jessica Wynn Councell Midwife 1072 N Liberty St Ste 100, Boise, ID 83704 2020-03-12
1699307124 Isabel Burns Bruce Registered Nurse 777 N Raymond Street, Boise, ID 83704 2020-02-12
1558903328 Daring In Idaho, LLC Social Worker 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 2019-10-14
1053960286 Kyle Hiromi Hatanaka Acupuncturist 9450 #120 Fairview Avenue, Boise, ID 83704 2019-09-10
1700447141 Katie Elizabeth Nichols Physician Assistant 1072 N Liberty St Ste 201, Boise, ID 83704 2019-06-26
1588164727 Cory Michael Sims Counselor 6550 W. Emerald St #112, Boise, ID 83704 2018-02-14
1477072270 Matthew Lee Love Non-emergency Medical Transport (VAN) 6933 W. Stratton St, Boise, ID 83704 2017-09-12
1942735949 Dalana Sue Thompson Counselor 9196 Emerald St Suite #130, Boise, ID 83704 2017-04-27
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588288336 Katina Ross Nurse Practitioner 11695 W Baserri Dr, Boise, ID 83709-1307 2020-06-07
1932741212 Kylie B Di Lulo Nurse Practitioner 1309 E Fall Ct, Boise, ID 83706-5076 2019-10-08
1033638150 Michael P Lorentzen Nurse Practitioner 190 E Bannock St Fl 9, Boise, ID 83712-6241 2017-09-11
1063786648 Tennessee Phs PC Nurse Practitioner 950 W. Bannock Street, Suite 1100, Boise, ID 83702-6140 2012-02-29
1194093344 Ella Mae Gordon Nurse Practitioner 450 West State Street, 4th Floor, Boise, ID 83720-0036 2011-12-02
1174839666 Meghann R Bostrom Nurse Practitioner 13099 W Paint Dr, Boise, ID 83713-1927 2010-08-23
1255653796 Natalia Khochay Nurse Practitioner 1075 N. Curtis Rd., Suite 200, Boise, ID 83706-1300 2010-02-25
1164670378 Janet Mcreynolds Pelton Nurse Practitioner 2074 Roanoke Dr, Boise, ID 83712-7529 2008-08-29
1619155249 Loreen Anne Nugent Nurse Practitioner 3611 Tamarack Dr, Boise, ID 83703-4551 2008-02-06
1891904132 Mario P Martinez Nurse Practitioner 1075 S Curtis Rd, Suite 200, Boise, ID 83706-1350 2007-05-22
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Competitor

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City BOISE
Zip Code 83704

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Dataset Information

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.

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