VANCORP LLC (NPI# 1790300598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790300598 |
Entity Type | Organization |
Organization Name | VANCORP LLC |
Practice Address |
270 W Georgia Ave Ste 110 Nampa ID 83686-2835 |
Practice Telephone | 2087244125 |
Enumeration Date | 2020-06-08 |
Last Update Date | 2020-06-09 |
Authorized Official Name | BETHANY VANCE (CEO/MEMBER) |
Authorized Official Telephone | 2087244125 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 111N00000X | Chiropractor | Chiropractic Providers | ||
N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
270 W GEORGIA AVE STE 110 |
City | NAMPA |
State | ID |
Zip Code | 83686-2835 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
Find all providers in zip 83686 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336772029 | Kaylynn Winwood | Nurse Practitioner | 16478 N Elderberry Cir, Nampa, ID 83651-8700 | 2020-02-20 |
1164549333 | Sarah D Witte | Nurse Practitioner | 223 16th Ave North, Nampa, ID 83653 | 2007-03-23 |
1366412595 | David T. Foss | Nurse Practitioner | 211 16th Ave N, Nampa, ID 83687-4058 | 2006-01-23 |
1679189732 | Eva Bingham | Nurse Practitioner | 5826 E Franklin Rd, Nampa, ID 83687-5020 | 2020-09-23 |
1730798695 | Bobbi Fuller | Nurse Practitioner | 430 W Iowa Ave, Nampa, ID 83686-2826 | 2020-07-27 |
1275169252 | Ashley Whitlow | Nurse Practitioner | 215 E Hawaii Ave, Nampa, ID 83686-6011 | 2020-03-21 |
1639640402 | Brianna Ashley Cracolice | Nurse Practitioner | 1007 W Orchard Ave, Nampa, ID 83651-1878 | 2018-12-05 |
1972079820 | Penny S Mcclain | Nurse Practitioner | 207 1st St S, Nampa, ID 83651-3703 | 2018-10-18 |
1659872000 | Ginger Lee Powers | Nurse Practitioner | 700 Caldwell Blvd, Nampa, ID 83651-1707 | 2018-02-21 |
1144738717 | Justin Willis Devinaspre | Nurse Practitioner | 1150 N Sister Catherine Way, Nampa, ID 83687 | 2018-01-17 |
Find all providers in NAMPA |
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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.