MARLA JEAN VAN TASSELL (NPI# 1801266572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801266572 |
| Entity Type | Individual |
| Full Name | MARLA JEAN VAN TASSELL |
| Credential | NURSE PRACTITIONER |
| Practice Address |
414 Shoup Ave W Ste B Twin Falls ID 83301-5042 |
| Practice Telephone | 2088149100 |
| Mailing Telephone | 2088149100 |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2017-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP-1662A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
414 SHOUP AVE W STE B |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-5042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750654109 | Lisa A Mitton | Social Worker | 414 Shoup Ave W Ste B, Twin Falls, ID 83301-5042 | 2012-02-15 |
| 1740733401 | Braton Fredline | Physician Assistant | 414 Shoup Ave W Ste B, Twin Falls, ID 83301-5042 | 2016-07-29 |
| 1205203064 | Kelsie Hendrickson | Psychologist | 414 Shoup Ave W Ste B, Twin Falls, ID 83301-5042 | 2015-08-27 |
| 1033554464 | Mark P Murphy | Psychiatry & Neurology | 414 Shoup Ave W Ste B, Twin Falls, ID 83301-5042 | 2013-04-29 |
| 1861765216 | Kerry L Koontz | Social Worker | 414 Shoup Ave W Ste B, Twin Falls, ID 83301-5042 | 2012-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| 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 |
|---|---|---|---|---|
| 1982269973 | Patricia Conner | Nurse Practitioner | 775 Pole Line Rd W Ste 105&111, Twin Falls, ID 83301-5814 | 2019-05-06 |
| 1265635171 | Asthma & Allergy of Idaho | Nurse Practitioner | 800 Falls Ave Ste 2, Twin Falls, ID 83301-3366 | 2007-06-07 |
| 1962590505 | Jan A Sund | Nurse Practitioner | 496 Shoup Ave W Ste C, Twin Falls, ID 83301-5043 | 2006-10-10 |
| 1730189036 | Anna Hawker | Nurse Practitioner | 1880 Fillmore Street, Twin Falls, ID 83301-3015 | 2005-07-28 |
| 1194291823 | Jennifer Joy Quesnell | Nurse Practitioner | 775 Pole Line Rd W Ste 105, Twin Falls, ID 83301-5819 | 2018-10-20 |
| 1043730302 | Lesley D. Goulding | Nurse Practitioner | 775 Pole Line Rd W Ste 302, Twin Falls, ID 83301-5823 | 2017-06-27 |
| 1043747579 | Amanda Jo Prestigiacomo | Nurse Practitioner | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2017-05-15 |
| 1780115048 | Casie Spearing | Nurse Practitioner | 775 Pole Line Rd W, #112, Twin Falls, ID 83301-5814 | 2017-03-27 |
| 1053703850 | Positive Connections Plus, LLC | Nurse Practitioner | 1373 Fillmore St, Twin Falls, ID 83301-3392 | 2015-03-03 |
| 1225446180 | Jennifer Speicher Jorgensen | Nurse Practitioner | 1502 Locust St N Ste 700, Twin Falls, ID 83301-4164 | 2014-07-23 |
| Find all providers in TWIN FALLS | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
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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.