NURTURE LACTATION SUPPORT FOR WOMEN & INFANTS (NPI# 1740750710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740750710 |
| Entity Type | Organization |
| Organization Name | NURTURE LACTATION SUPPORT FOR WOMEN & INFANTS |
| Practice Address |
5480 Gleneagles Dr Idaho Falls ID 83401-6315 |
| Practice Telephone | 2085699031 |
| Mailing Telephone | 2085699031 |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2018-12-03 |
| Authorized Official Name | KRISTIE KARROUM (PROVIDER) |
| Authorized Official Telephone | 2085699031 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | LICENSE | FNP57631 | 01 |
| Street Address |
5480 GLENEAGLES DR |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83401-6315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454796 | Natalie M Theriault | Acupuncturist | 864 S Holmes, Idaho Falls, ID 83401 | 2020-10-09 |
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1851859110 | Rebecca Chidester | Counselor | 771 Parkwood St., Idaho Falls, ID 83401 | 2019-03-06 |
| 1467924985 | Benchmark Home Health | Registered Nurse | 2098 Gladys Dr., Idaho Falls, ID 83401 | 2018-12-21 |
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 1992227367 | Brenda Emery | Rehabilitation Practitioner | 540 3rd Street, Idaho Falls, ID 83401 | 2017-07-07 |
| 1689068454 | Addiction Treatment Centers of Idaho | Community/Behavioral Health | 211 S. Woodruff Avenue, Idaho Falls, ID 83401 | 2015-03-19 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1487994430 | Sterling Physician Group Pllc | Clinic/Center | 740 S. Woodruff Ave, Idaho Falls, ID 83401 | 2013-02-27 |
| 1952638025 | Allstar Counseling Inc. | Case Management | 550 2nd Street, Suite 269, Idaho Falls, ID 83401 | 2009-11-11 |
| Find all providers in zip 83401 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790291276 | Bee Happy Pediatrics | Nurse Practitioner | 3412 South 25th East, Idaho Falls, ID 83406-4967 | 2017-12-20 |
| 1346727153 | Drue Marie Winder | Nurse Practitioner | 3320 S 25th E, Idaho Falls, ID 83404-4606 | 2018-07-24 |
| 1649774860 | Colette Egbert | Nurse Practitioner | 3320 S 25th E, Idaho Falls, ID 83404-4606 | 2018-03-21 |
| 1922513886 | Kristie Glen Karroum | Nurse Practitioner | 3320 S 25th E, Idaho Falls, ID 83404-4606 | 2017-12-13 |
| 1720312523 | Heather Anne Bagley | Nurse Practitioner | 3430 Washington Pkwy, The Pediatric Center, Idaho Falls, ID 83404-7579 | 2009-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959100 | Taylor Frances Mello | Nurse Practitioner | 2770 N Woodview Pl, Boise, ID 83702-6541 | 2020-07-17 |
| 1275192205 | Luna Hodges | Nurse Practitioner | 125 E Idaho St Ste 200, Boise, ID 83712-6225 | 2019-06-12 |
| 1376700799 | Monica Hermine Mccullough | Nurse Practitioner | 3525 E Louise Dr Ste 250, Meridian, ID 83642-6303 | 2008-05-22 |
| 1568679603 | Kathleen Bridget Marshall | Nurse Practitioner | 717 Mission Rd., Fort Hall, ID 83203-0717 | 2007-05-17 |
| 1073675617 | Leona Jo'anne' Church | Nurse Practitioner | 1655 W Fairview Ave Ste 206, Boise, ID 83702-5190 | 2006-12-13 |
| 1861477838 | Margaret Anne Fry Lawson | Nurse Practitioner | 637 E Deer Flat Rd, Kuna, ID 83634-3444 | 2005-12-13 |
| 1164411864 | Nancy Norine Miller | Nurse Practitioner | 925 W 1st St, Meridian, ID 83642 | 2005-10-17 |
| 1033102579 | Karen L Godard | Nurse Practitioner | 1305 3rd St S, Nampa, ID 83651-3903 | 2005-08-30 |
| 1386204758 | Aimee Lynn Hastriter | Nurse Practitioner | 125 E Idaho St Ste 200, Boise, ID 83712-6225 | 2019-06-18 |
| 1659844066 | Rachel Bentley | Nurse Practitioner | 1072 N Liberty St Ste 200, Boise, ID 83704-8963 | 2019-01-08 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83401 |
Please comment or provide details below to improve the information on NURTURE LACTATION SUPPORT FOR WOMEN & INFANTS.
| 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.