AMANDA D KING (NPI# 1790053338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790053338 |
| Entity Type | Individual |
| Full Name | AMANDA D KING |
| Credential | NP |
| Practice Address |
10583 W Lake Hazel Rd Boise ID 83709 |
| Mailing Address |
3340 E Goldstone Dr Meridian ID 83642 |
| Practice Telephone | 2083025950 |
| Practice Fax Number | 2083025955 |
| Mailing Telephone | 2083025950 |
| Mailing Fax Number | 2083025955 |
| Enumeration Date | 2011-12-10 |
| Last Update Date | 2020-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | N-41966 | ID | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | NP-1345A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | GNP26011A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881217065 | Amanda Laine King | Registered Nurse | 1511 Early Blvd, Early, TX 76802-2317 | 2020-05-22 |
| 1306475538 | Amanda S King | Specialist/Technologist | 3117 Cabinwood Dr, Louisville, KY 40220-2605 | 2020-04-08 |
| 1205471505 | Amanda Ester King | Counselor | 4005 Rifle Creek Trl, Billings, MT 59106-9689 | 2019-11-10 |
| 1396302618 | Amanda Lowrey King | Registered Nurse | 145 Rommel Ct, Springtown, TX 76082-5224 | 2019-05-22 |
| 1912481458 | Amanda Jonci King | Physical Therapy Assistant | 2519 43rd St, Lubbock, TX 79413-3225 | 2018-09-20 |
| 1790138204 | Amanda King | Counselor | 777 Woodlane Rd, Westampton, NJ 08060-3804 | 2016-07-20 |
| 1245682046 | Amanda King | Licensed Practical Nurse | 48 Colony Ln, Rochester, NY 14623-5412 | 2016-07-06 |
| 1407210883 | Amanda Nicole King | Obstetrics & Gynecology | 46325 W 12 Mile Rd Ste 250, Novi, MI 48377-2461 | 2016-04-11 |
| 1629445002 | Amanda Ann King | Specialist/Technologist | Central Michigan University Rose Center - Room 145, Mount Pleasant, MI 48859-9337 | 2015-09-01 |
| 1295144723 | Amanda C King | Physical Therapy Assistant | 280 King Ln, Nashville, GA 31639-5902 | 2014-08-08 |
| Street Address |
10583 W LAKE HAZEL RD |
| City | BOISE |
| State | ID |
| Zip Code | 83709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275681256 | Daniel L Meltzer | Emergency Medicine | 10583 W Lake Hazel Rd, Boise, ID 83709 | 2007-01-08 |
| 1255957403 | Alysse Michele Weber | Nurse Practitioner | 10583 W Lake Hazel Rd, Boise, ID 83709 | 2020-06-23 |
| 1811522949 | Carmen Salyer | Nurse Practitioner | 10583 W Lake Hazel Rd, Boise, ID 83709-6326 | 2020-03-09 |
| 1760025142 | Cassandra Duncan | Nurse Practitioner | 10583 W Lake Hazel Rd, Boise, ID 83709-6326 | 2019-10-18 |
| 1013568468 | Micah Ray Tobin | Physician Assistant | 10583 W Lake Hazel Rd, Boise, ID 83709 | 2019-09-26 |
| 1689226177 | Jeffrey Kenneth Weese | Nurse Practitioner | 10583 W Lake Hazel Rd, Boise, ID 83709 | 2019-07-15 |
| 1912569351 | Sergey Kashubin | Nurse Practitioner | 10583 W Lake Hazel Rd, Boise, ID 83709-6326 | 2019-07-06 |
| 1184189839 | Eric Konkel | Physician Assistant | 10583 W Lake Hazel Rd, Boise, ID 83709 | 2019-02-06 |
| 1851855258 | Cameron J Guthrie | Physician Assistant | 10583 W Lake Hazel Rd, Boise, ID 83709 | 2019-01-30 |
| 1063983153 | Erin R Bohn | Nurse Practitioner | 10583 W Lake Hazel Rd, Boise, ID 83709-6326 | 2018-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655398 | Jayme Rossow | Occupational Therapist | 101 S. Allumbaugh Way, Boise, ID 83709 | 2020-10-05 |
| 1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
| 1164080164 | Elena Stamm | Audiologist | 10000 W Amity Rd, Boise, ID 83709 | 2019-06-04 |
| 1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
| 1457879975 | Mark Aaron Phelan | Registered Nurse | 779 S. Tennyson Way, Boise, ID 83709 | 2017-09-05 |
| 1235665290 | Sharon Nelson | Dietitian, Registered | 2790 S Goshen Way, Boise, ID 83709 | 2017-05-11 |
| 1982139622 | First Choice Healthcare, Inc. | Home Health | 12400 W. Overland Rd., Ste 100, Boise, ID 83709 | 2017-05-01 |
| 1801320254 | Deborah Carson | Social Worker | 8349 West Harmonica Way, Boise, ID 83709 | 2017-04-12 |
| 1114479862 | Allyson Anne Bates | Nurse Practitioner | 10583 W Lake Hazel Road, Samg Family Medicine, Boise, ID 83709 | 2016-10-28 |
| 1508221391 | Elisha L. Garrison | Counselor | 9196 W. Barnes Street, Boise, ID 83709 | 2015-12-21 |
| Find all providers in zip 83709 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| 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 |
| 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.