CAROLYN BLASCH (NPI# 1992154538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992154538 |
| Entity Type | Individual |
| Full Name | CAROLYN BLASCH |
| Other Name | CAROLYN KELLER |
| Practice Address |
3912 Sage Creek Dr Boise ID 83714-5502 |
| Practice Telephone | 4065210252 |
| Mailing Telephone | 4065210252 |
| Enumeration Date | 2016-06-05 |
| Last Update Date | 2016-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN-51519 | ID | Nursing Service Providers |
| Street Address |
3912 SAGE CREEK DR |
| City | BOISE |
| State | ID |
| Zip Code | 83714-5502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932683752 | Ikdo State Street LLC | Dentist | 9209 W State St, Garden City, ID 83714 | 2018-09-18 |
| 1437608007 | Carrie Boroughs Breaux | Ophthalmology | 5019 N Sawyer Ave, Garden City, ID 83714 | 2016-09-23 |
| 1841646007 | Alliance Medical Group, LLC | Family Medicine | 5601 W. Chinden Blvd., Garden City, ID 83714 | 2016-05-06 |
| 1134580467 | Rebecca Gillet | Physical Therapist | 6576 W Dufferin Ct, Boise, ID 83714 | 2016-03-15 |
| 1063816007 | Ingri Suzanne Koloski | Counselor | 8969 West Hepburn Lane, Garden City, ID 83714 | 2014-10-20 |
| 1679909329 | Anile Nina | Counselor | 5484 N Gary Lane, Boise, ID 83714 | 2013-09-25 |
| 1215360292 | William Blake Bybee | Dentist | 5833 W. Hidden Springs Dr., Boise, ID 83714 | 2013-08-14 |
| 1871833327 | Charmaine Read | Social Worker | 123 E. 44th St, Ste. A, Garden City, ID 83714 | 2013-02-20 |
| 1811206576 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 5220 Sawyer Court, Suite D, Garden City, ID 83714 | 2010-09-29 |
| 1073780680 | Barry Lynn Williams | Pharmacist | 7020 W State Street, Boise, ID 83714 | 2008-05-13 |
| Find all providers in zip 83714 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267266 | Mary Laree Kenworthy | Licensed Practical Nurse | 500 W Fort St Bldg 88, Boise, ID 83702-4598 | 2020-08-31 |
| 1457974669 | Marcey Louise Waugh | Licensed Practical Nurse | 500 W Fort St Bldg 124, Boise, ID 83702-4501 | 2020-05-21 |
| 1033723788 | Brian Lynn Lambrecht | Licensed Practical Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-09-01 |
| 1811500937 | Rebecca Mccall | Licensed Practical Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-08-28 |
| 1396358438 | John Wayne Shaffer | Licensed Practical Nurse | 500 W Front St, Boise, ID 83702-7231 | 2020-08-28 |
| 1023621034 | James Hd Hecht | Licensed Practical Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-08-28 |
| 1316550346 | Deanna Cui Gonzales-murdorf | Licensed Practical Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-08-28 |
| 1104434950 | Mandie Marie Phillips | Licensed Practical Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-07-17 |
| 1790302446 | Angela Battle | Licensed Practical Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-06-29 |
| 1841815149 | Jan Drake | Licensed Practical Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-06-11 |
| 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.