MISS KRISTIAN LEIGH CARSON (NPI# 1811463771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811463771 |
Entity Type | Individual |
Full Name | MISS KRISTIAN LEIGH CARSON |
Practice Address |
2201 Ironwood Pl Coeur D Alene ID 83814-2670 |
Practice Telephone | 2087694222 |
Mailing Telephone | 2087694222 |
Enumeration Date | 2018-10-18 |
Last Update Date | 2018-10-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
2201 IRONWOOD PL |
City | COEUR D ALENE |
State | ID |
Zip Code | 83814-2670 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336182112 | Tracey L Sutton | Social Worker | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2006-06-13 |
1790252526 | Amanda R Bailey | Rehabilitation Practitioner | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-10-30 |
1902372857 | Luis Esteban Chavolla | Rehabilitation Practitioner | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-10-18 |
1184103335 | Shauna Rae Herman | Rehabilitation Practitioner | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-08-08 |
1073091864 | Sally Jo Fischer | Community Health Worker | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-08-02 |
1174000566 | Timothy Wayne Cork | Specialist | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-07-27 |
1275010233 | Gordon Bruce Cuthbert | Peer Specialist | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-07-23 |
1679059208 | Tina Marie Rozniewski | Peer Specialist | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-07-17 |
1962988451 | Cassey Coleman | Peer Specialist | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-07-17 |
1073099719 | Erica Marie Blessing I | Social Worker | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-07-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
Find all providers in zip 83814 |
Taxonomy Code | 225400000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Rehabilitation Practitioner |
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790252526 | Amanda R Bailey | Rehabilitation Practitioner | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-10-30 |
1902372857 | Luis Esteban Chavolla | Rehabilitation Practitioner | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-10-18 |
1184103335 | Shauna Rae Herman | Rehabilitation Practitioner | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-08-08 |
1801372529 | Courtney Alisha Pellow | Rehabilitation Practitioner | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-07-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538792049 | Jeremy Edward Miller | Rehabilitation Practitioner | 5338 W Spaulding St, Boise, ID 83705-2741 | 2020-02-13 |
1891335303 | Patricia Deanne Watson | Rehabilitation Practitioner | 1134 Evergreen Rd, Craigmont, ID 83523-5006 | 2020-01-13 |
1992227367 | Brenda Emery | Rehabilitation Practitioner | 540 3rd Street, Idaho Falls, ID 83401 | 2017-07-07 |
1629431606 | Cheryl Lynnette Lowman | Rehabilitation Practitioner | 427 Jackson St, Twin Falls, ID 83301-4750 | 2016-03-29 |
1447522008 | Gina Marie Miller | Rehabilitation Practitioner | 3423 N Centrepoint Way Unit G103, Meridian, ID 83646-6722 | 2012-01-29 |
1447343462 | Janice Kytle Seargent | Rehabilitation Practitioner | 1820 E 17th Street, Suite 120, Idaho Falls, ID 83404-6472 | 2006-10-02 |
1689235731 | Elizabeth Toscan | Rehabilitation Practitioner | 130 S Midland Blvd, Nampa, ID 83686-2601 | 2019-06-27 |
1972089605 | Kathleen Nansel | Rehabilitation Practitioner | 740 Mckinley Ave, Kellogg, ID 83837 | 2018-07-16 |
1366964736 | Katherine Ann Rodriguez | Rehabilitation Practitioner | 540 3rd St, Idaho Falls, ID 83404 | 2017-07-07 |
1801175484 | Jeremy Sloyer | Rehabilitation Practitioner | 800 W Main St, Ste 1460, Boise, ID 83702-5983 | 2011-08-12 |
Find all providers with the same taxonomy |
City | COEUR D ALENE |
Zip Code | 83814 |
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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.