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).
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 |
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 |
Street Address |
8050 W NORTHVIEW ST |
City | BOISE |
State | ID |
Zip Code | 83704-7126 |
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 |
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 |
Find all providers in zip 83704 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
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 |
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.