KELLIE WATSON (NPI# 1992206742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992206742 |
| Entity Type | Individual |
| Full Name | KELLIE WATSON |
| Practice Address |
6140 W Curtisian Ave Boise ID 83704-8880 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2083020130 |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
57868 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467912022 | Kellie Michelle Watson | Physical Therapy Assistant | 1927 Memorial Blvd, Murfreesboro, TN 37129-1545 | 2019-03-20 |
| 1447723523 | Kellie Ann Watson | Behavioral Analyst | 9197 W 6th Ave Ste 1000, Lakewood, CO 80215-5109 | 2019-01-10 |
| 1750590378 | Kellie P Watson | Speech-Language Pathologist | 420 Pat Rd, Lexington, SC 29073-8435 | 2007-05-21 |
| Street Address |
6140 W CURTISIAN AVE |
| City | BOISE |
| State | ID |
| Zip Code | 83704-8880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447244819 | Eric B Stuart | Internal Medicine | 6140 W Curtisian Ave, Ste 200, Boise, ID 83704 | 2005-08-31 |
| 1083185235 | Cheryl Fish | Registered Nurse | 6140 W Curtisian Ave, Ste 200, Boise, ID 83704 | 2018-12-16 |
| 1508308396 | Samantha J Benfield | Nurse Practitioner | 6140 W Curtisian Ave, Suite 102, Boise, ID 83704-8880 | 2016-11-09 |
| 1194278754 | Amber Michele Kirtley-perez | Physician Assistant | 6140 W Curtisian Ave, Ste 200, Boise, ID 83704 | 2016-08-01 |
| 1982062857 | Michelle L Kennedy | Nurse Practitioner | 6140 W Curtisian Ave, Ste 200, Boise, ID 83704 | 2016-02-05 |
| 1982071940 | John Pilcher | Nurse Practitioner | 6140 W Curtisian Ave, Ste 100, Boise, ID 83704-8880 | 2015-08-25 |
| 1588063168 | Richard Lochhead Md Pllc | Neurological Surgery | 6140 W Curtisian Ave, Ste 400, Boise, ID 83704-8880 | 2014-08-19 |
| 1639578628 | Erin Michaelis | Nurse Practitioner | 6140 W Curtisian Ave, Ste 200, Boise, ID 83704 | 2014-08-15 |
| 1568891638 | Dominick Valentine | Physician Assistant | 6140 W Curtisian Ave, Suite 102, Boise, ID 83704-8880 | 2013-11-08 |
| 1093155525 | Erin Cole Melton | Nurse Practitioner | 6140 W Curtisian Ave, Ste 300, Boise, ID 83704 | 2013-06-28 |
| Find all providers in the same location | ||||
| 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 | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275199663 | Jason T Elliott | Nurse Practitioner | 12094 N Barn Owl Way, Boise, ID 83714-1363 | 2019-05-12 |
| 1639364482 | Saint Alphonsus Specialty Services Inc | Nurse Practitioner | 660 E Boise Ave, Boise, ID 83706-5118 | 2007-09-13 |
| 1336193598 | Angela K. Hughes | Nurse Practitioner | 6933 W Emerald St, Boise, ID 83704-8616 | 2006-05-20 |
| 1174156962 | Rachel Lynne Davis | Nurse Practitioner | 190 E Bannock St, Boise, ID 83712-6241 | 2020-02-20 |
| 1154823433 | Christopher R Counsil | Nurse Practitioner | 190 E Bannock St, Boise, ID 83712-6241 | 2018-03-02 |
| 1124562491 | Kimberly Telfer | Nurse Practitioner | 1055 N Curtis Road, Boise, ID 83706 | 2016-12-06 |
| 1881140283 | Ashley Ann Rood | Nurse Practitioner | 190 E Bannock St, Boise, ID 83712-6241 | 2016-08-26 |
| 1255706461 | Jennifer Kienlen | Nurse Practitioner | 1075 N Curtis Rd, Suite 250, Boise, ID 83706-1300 | 2015-12-14 |
| 1386839132 | Saint Alphonsus Specialty Services Inc | Nurse Practitioner | 6560 S Federal Way, Boise, ID 83716-9277 | 2007-09-13 |
| 1255526000 | Saint Alphonsus Specialty Services Inc | Nurse Practitioner | 1515 W State St, Boise, ID 83702-4039 | 2007-09-13 |
| 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.