HEATHER R CRANDALL (NPI# 1942356647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942356647 |
| Entity Type | Individual |
| Full Name | HEATHER R CRANDALL |
| Credential | CST CFA |
| Practice Address |
2855 E Magic View Dr Meridian ID 83642-6245 |
| Mailing Address |
2365 W Rainwater Ct Meridian ID 83642-1288 |
| Practice Telephone | 2086394900 |
| Mailing Telephone | 2086394900 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
94981 | ID | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | CERTIFICATION NUMBER | 94981 | 01 |
| Street Address |
2855 E MAGIC VIEW DR |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-6245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023013109 | Eric W Klein | Specialist | 2855 E Magic View Dr, Meridian, ID 83642-6245 | 2005-06-16 |
| 1174156418 | Lea Jo Piper | Urology | 2855 E Magic View Dr, Meridian, ID 83642-6245 | 2020-02-14 |
| 1316587751 | Samuel Merritt Uebelacker | Physician Assistant | 2855 E Magic View Dr, Meridian, ID 83642-6245 | 2020-01-14 |
| 1598231623 | Katherine Lindsay Mondada | Physician Assistant | 2855 E Magic View Dr, Meridian, ID 83642-6245 | 2018-10-16 |
| 1316331705 | Adam Schatz | Urology | 2855 E Magic View Dr, Meridian, ID 83642-6245 | 2015-03-24 |
| 1053695676 | Melissa Brianne Mcclenahan | Physician Assistant | 2855 E Magic View Dr, Meridian, ID 83642-6245 | 2011-09-30 |
| 1659663482 | Lisa Michela Parrillo | Urology | 2855 E Magic View Dr, Meridian, ID 83642-6245 | 2011-05-12 |
| 1427143346 | Katy Holder | Physician Assistant | 2855 E Magic View Dr, Meridian, ID 83642-6245 | 2006-10-04 |
| 1265478374 | Stephanie Brooke Hodson | Internal Medicine | 2855 E Magic View Dr, Meridian, ID 83642 | 2006-06-20 |
| 1689620692 | Idaho Urologic Institute Pa | Urology | 2855 E Magic View Dr, Meridian, ID 83642-6245 | 2006-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 246ZS0410X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Technologist |
| Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
| Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174925135 | Heather Anderson | Specialist/Technologist, Other | 1736 S Millenium Way, Meridian, ID 83642-1511 | 2014-09-22 |
| 1497818983 | Patricia A Wunder | Specialist/Technologist, Other | 3011 S Tagish Way, Meridian, ID 83642-9157 | 2006-12-18 |
| 1508197666 | Chamagne Janae Eaton | Specialist/Technologist, Other | 3630 E Louise Dr, Meridian, ID 83642-7975 | 2010-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376999086 | Kelley White | Specialist/Technologist, Other | 445 N Johnson Ave, Pocatello, ID 83204-3021 | 2016-05-11 |
| 1558668046 | Hilda Alberta Turman | Specialist/Technologist, Other | 355 Nw Carrie Cir, Mountain Home, ID 83647-5673 | 2011-02-17 |
| 1518279033 | Ginger Leigh Matkin | Specialist/Technologist, Other | 4112 E Jasmine Ct, Nampa, ID 83687-7526 | 2010-07-13 |
| 1194058891 | Michael K Seelye | Specialist/Technologist, Other | 623 S Main St Ste 6, Moscow, ID 83843-2983 | 2009-09-12 |
| 1548460959 | James Edward Knox | Specialist/Technologist, Other | 2147 E 200 N, Saint Anthony, ID 83445-5600 | 2007-07-23 |
| 1871614404 | Lee Ann Hart | Specialist/Technologist, Other | 900 N Liberty St Ste 400, Boise, ID 83704-8707 | 2007-04-02 |
| 1578691036 | Kelli Jean Cornwall | Specialist/Technologist, Other | 6140 Curtisian Ave Ste 102, Boise, ID 83704-0109 | 2007-02-28 |
| 1770622946 | Nancy M Coonan | Specialist/Technologist, Other | 901 N Curtis Rd Ste 104, Boise, ID 83706-1339 | 2007-02-05 |
| 1114089364 | Claudia D White | Specialist/Technologist, Other | 4907 Joe Ln, Nampa, ID 83687-8701 | 2006-12-14 |
| 1730247719 | Stacy A Fitzgerald | Specialist/Technologist, Other | 4887 Wymosa St, Boise, ID 83703-4359 | 2006-12-04 |
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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.