MARY J STACKLE


Address: 8050 W Northview St, Boise, ID 83704-7126
Phone: 2083270504

MARY J STACKLE (NPI# 1841522661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841522661
Entity Type Individual
Full Name MARY J STACKLE
Credential NP
Practice Address 8050 W Northview St
Boise
ID 83704-7126
Practice Telephone 2083270504
Mailing Telephone 2083270504
Enumeration Date 2010-02-03
Last Update Date 2010-02-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
NP-945A ID Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 8050 W NORTHVIEW ST
City BOISE
State ID
Zip Code 83704-7126

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750615001 Lari K Holladay Social Worker 8050 W Northview St, Boise, ID 83704-7126 2009-09-18
1487261939 Baylee Michele Critchlow Social Worker 8050 W Northview St, Boise, ID 83704-7126 2020-09-29
1922614478 Katelyn Hart Bettinger Social Worker 8050 W Northview St, Boise, ID 83704-7126 2020-09-21
1437620358 Lifeways, Inc Psychiatric Hospital 8050 W Northview St, Boise, ID 83704-7126 2018-12-17
1942643432 Safe Haven Health Care Inc Psychiatric Hospital 8050 W Northview St, Boise, ID 83704-7126 2013-04-15
1780937532 Dustin Sharpe Psychiatric Hospital 8050 W Northview St, Boise, ID 83704-7126 2012-10-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215535893 Laura Diggs Counselor 400 North Benjamin Lane, Suite 200, Boise, ID 83704 2020-10-15
1891304002 Tree City Family Dental Dentist 7301 W. Emerald St Ste. 102, Boise, ID 83704 2020-07-24
1982230710 Jessica Wynn Councell Midwife 1072 N Liberty St Ste 100, Boise, ID 83704 2020-03-12
1699307124 Isabel Burns Bruce Registered Nurse 777 N Raymond Street, Boise, ID 83704 2020-02-12
1558903328 Daring In Idaho, LLC Social Worker 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 2019-10-14
1053960286 Kyle Hiromi Hatanaka Acupuncturist 9450 #120 Fairview Avenue, Boise, ID 83704 2019-09-10
1700447141 Katie Elizabeth Nichols Physician Assistant 1072 N Liberty St Ste 201, Boise, ID 83704 2019-06-26
1588164727 Cory Michael Sims Counselor 6550 W. Emerald St #112, Boise, ID 83704 2018-02-14
1477072270 Matthew Lee Love Non-emergency Medical Transport (VAN) 6933 W. Stratton St, Boise, ID 83704 2017-09-12
1942735949 Dalana Sue Thompson Counselor 9196 Emerald St Suite #130, Boise, ID 83704 2017-04-27
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790302594 Dumu Psychiatry LLC Nurse Practitioner 9428 W Fairview Ave, Boise, ID 83704-8101 2020-06-29
1104309657 Brigitta Panther Nurse Practitioner 418 W Reese St, Boise, ID 83706-6233 2018-09-11
1336413459 Cheryl Suhr Nurse Practitioner 10840 W Wasdale Dr, Boise, ID 83709-7170 2012-03-07
1679898225 Shawna L Kuehne Nurse Practitioner 1902 Judith Ln Ste 110, Boise, ID 83705-5235 2010-04-06
1841529310 Carolyn Corbett Nurse Practitioner 7280 W Ustick Rd, Suite 101, Boise, ID 83704-5014 2009-12-13
1306089271 Mark A Jepson Nurse Practitioner 1919 W State St, Boise, ID 83702-3958 2009-04-08
1548300924 Gia Swope Nurse Practitioner 13967 W Wainwright Dr, Suite 103, Boise, ID 83713-2094 2007-02-07
1043392756 Satu H. Woodland Nurse Practitioner 3152 S. Bown Way # 102, Boise, ID 83706 2006-10-20
1295735801 Karen Lenore Schumacher Nurse Practitioner 2308 N Cole Rd, Ste A, Boise, ID 83704-7361 2005-07-26
1710593363 Laura Lyn Allen Nurse Practitioner 3152 S Bown Way Ste 102, Boise, ID 83706-5456 2020-09-18
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Competitor

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City BOISE
Zip Code 83704

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Dataset Information

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.

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