MRS. KATELYN ELYSE MACDONALD (NPI# 1871136978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871136978 |
| Entity Type | Individual |
| Full Name | MRS. KATELYN ELYSE MACDONALD |
| Other Name | MISS KATELYN ELYSE MARQUEZ |
| Credential | PA-C |
| Practice Address |
11035 Karcher Rd Nampa ID 83651-8200 |
| Mailing Address |
3340 E Goldstone Dr Meridian ID 83642-1026 |
| Practice Telephone | 2083026650 |
| Mailing Telephone | 2083026600 |
| Mailing Fax Number | 2083026655 |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-1809 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619512373 | Katelyn Keleigh Macdonald | Counselor | 250 Lincoln St, Allston, MA 02134-1318 | 2019-11-16 |
| 1598233413 | Katelyn Minier Macdonald | Physical Therapist | 1000 Elmwood Ave Ste 100, Rochester, NY 14620-3093 | 2018-11-08 |
| 1255889614 | Katelyn Ann Macdonald | Social Worker | 018 Sw Boundary Ct, Portland, OR 97239-3939 | 2016-09-14 |
| Street Address |
11035 KARCHER RD |
| City | NAMPA |
| State | ID |
| Zip Code | 83651-8200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881033256 | Mitchell A Mendenhall | Family Medicine | 11035 Karcher Rd, Nampa, ID 83651-8200 | 2013-06-19 |
| 1386192102 | Monica Vernon | Physician Assistant | 11035 Karcher Rd, Nampa, ID 83651 | 2016-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376090985 | Stephen Michael Wren | Physician Assistant | 11035 W Karcher Rd, Nampa, ID 83651 | 2016-09-01 |
| 1104203157 | Jeremy Thorson | Social Worker | 456 West Orchard Ave., Apt D305, Nampa, ID 83651 | 2015-04-29 |
| 1134527708 | Community Health Clinics Inc | Clinic/Center | 207 1st Street S, Nampa, ID 83651 | 2014-12-15 |
| 1326455429 | Michelle Murchie | Pharmacist | 175 S. Middleton Rd, Nampa, ID 83651 | 2014-07-21 |
| 1700215373 | Stanley A Gillett | Chiropractor | 107 14th Ave S, Nampa, ID 83651 | 2013-11-04 |
| 1477996205 | James L Fries | Counselor | 847 Park Centre Way, Suite 5, Nampa, ID 83651 | 2013-04-11 |
| 1023367240 | Erin Westfall | Speech-Language Pathologist | 168 Mcclure Avenue, Nampa, ID 83651 | 2012-09-04 |
| 1487949475 | Erik Steven Linn | Family Medicine | 11035 W. Karcher Road, Nampa, ID 83651 | 2011-06-17 |
| 1720398647 | At Your Service Home Health Care LLC | In Home Supportive Care | 321 2nd St S Ste 103, Nampa, ID 83651 | 2010-10-13 |
| 1144544206 | Petra Morrison | Community/Behavioral Health | 1031 W. Sanetta St., Nampa, ID 83651 | 2010-03-18 |
| Find all providers in zip 83651 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174096606 | Derek Scott Ahlstrom | Physician Assistant | 847 Parkcentre Way Ste 7, Nampa, ID 83651-1794 | 2019-01-08 |
| 1083197016 | Jocelyn Ashley Benton | Physician Assistant | 3908 E Flamingo Ave, Nampa, ID 83687-3102 | 2018-09-14 |
| 1376090985 | Stephen Michael Wren | Physician Assistant | 11035 W Karcher Rd, Nampa, ID 83651 | 2016-09-01 |
| 1952799009 | Leslie Arlene Lewis | Physician Assistant | 9850 St Lukes Dr Ste 215, Nampa, ID 83687-7912 | 2014-12-23 |
| 1598192676 | Louie Ward Beech | Physician Assistant | 1510 12th Ave, Ste 200, Nampa, ID 83686 | 2013-10-03 |
| 1629155809 | Kristin Lund Lewis | Physician Assistant | 9850 W St Lukes Dr Ste 129, Nampa, ID 83687-7912 | 2006-11-01 |
| 1043286222 | Mark A Granrud | Physician Assistant | 215 E Hawaii Avenue, Nampa, ID 83686 | 2006-02-27 |
| 1174513188 | Thad W Wilkey | Physician Assistant | 16111 N Brinson St Ste100, Nampa, ID 83687-9203 | 2005-10-21 |
| 1669002721 | Nicole Webb | Physician Assistant | 215 E Hawaii Ave, Nampa, ID 83686-6011 | 2020-01-16 |
| 1407493638 | Alison R Dekerchove | Physician Assistant | 1115 12th Ave Rd, Nampa, ID 83686-5738 | 2019-12-06 |
| 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.