KEY STONE HEALTH CARE (NPI# 1932520640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932520640 |
Entity Type | Organization |
Organization Name | KEY STONE HEALTH CARE |
Practice Address |
1159 E Iron Eagle Drive Suite # 170-d Eagle ID 83616-6871 |
Practice Telephone | 2086154694 |
Practice Fax Number | 8888836139 |
Mailing Telephone | 2086154694 |
Mailing Fax Number | 8888836139 |
Enumeration Date | 2013-12-23 |
Last Update Date | 2017-04-18 |
Authorized Official Name | LEONARD R JENSEN (PRESIDENT) |
Authorized Official Telephone | 2086154694 |
Authorized Official Credential | FNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
N | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
NP-1166A | ID | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1159 E IRON EAGLE DRIVE SUITE # 170-D |
City | EAGLE |
State | ID |
Zip Code | 83616-6871 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
1861922627 | Nicholas A. Stelzner | Counselor | 2419 W. State St. Suite 8, Boise, ID 83616 | 2017-06-14 |
1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
1043552524 | Tori Croshaw | Social Worker | 372 S Eagle Rd Ste 190, Eagle, ID 83616 | 2013-03-21 |
1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
1437494457 | Mary Beth Roehling | Nurse Practitioner | 2040 E Hologate Ct, Eagle, ID 83616 | 2012-12-03 |
Find all providers in zip 83616 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194356022 | Sabrina Bojo | Nurse Practitioner | 1576 S Oriole Way, Boise, ID 83709-1325 | 2020-01-29 |
1033641154 | Tyler Jue | Nurse Practitioner | 1055 N Curtis Rd # S6, Boise, ID 83706-1309 | 2017-03-29 |
1285165399 | Corine Faught | Nurse Practitioner | 1122 Starfire St, Twin Falls, ID 83301-3146 | 2017-03-21 |
1891310892 | Sean E Cook | Nurse Practitioner | 211 E Logan St, Caldwell, ID 83605-4882 | 2020-06-15 |
1205466281 | Jeanna Rae Rendo | Nurse Practitioner | 811 Nw 12th St, Fruitland, ID 83619-2268 | 2020-01-18 |
1205498201 | Jessica Inez Gratzer | Nurse Practitioner | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2019-07-01 |
1326520719 | Jose Manuel Celedon | Nurse Practitioner | 508 E Florida Ave, Nampa, ID 83686-5823 | 2018-08-31 |
1982115309 | Laura Eaton | Nurse Practitioner | 4740 N Penngrove Way, Ste 100, Meridian, ID 83646 | 2017-10-12 |
1669901245 | Stephanie Larie Thompson | Nurse Practitioner | 1510 12th Ave Rd, Ste 200, Nampa, ID 83686 | 2017-06-07 |
1881129146 | Sara Jean Smith | Nurse Practitioner | 5966 W Curtisian Ave, Boise, ID 83704 | 2017-04-25 |
Find all providers with the same taxonomy |
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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.