BRENDA EMERY (NPI# 1992227367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992227367 |
| Entity Type | Individual |
| Full Name | BRENDA EMERY |
| Other Name | BRENDA RICHARDS |
| Credential | CPRP |
| Practice Address |
540 3rd Street Idaho Falls ID 83401 |
| Mailing Address |
540 3rd St Idaho Falls ID 83401-3953 |
| Practice Telephone | (208) 524-5607 |
| Practice Fax Number | 2085350942 |
| Mailing Telephone | 2085245607 |
| Mailing Fax Number | 2085350942 |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2017-07-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
540 3RD STREET |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454796 | Natalie M Theriault | Acupuncturist | 864 S Holmes, Idaho Falls, ID 83401 | 2020-10-09 |
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1851859110 | Rebecca Chidester | Counselor | 771 Parkwood St., Idaho Falls, ID 83401 | 2019-03-06 |
| 1467924985 | Benchmark Home Health | Registered Nurse | 2098 Gladys Dr., Idaho Falls, ID 83401 | 2018-12-21 |
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 1689068454 | Addiction Treatment Centers of Idaho | Community/Behavioral Health | 211 S. Woodruff Avenue, Idaho Falls, ID 83401 | 2015-03-19 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1487994430 | Sterling Physician Group Pllc | Clinic/Center | 740 S. Woodruff Ave, Idaho Falls, ID 83401 | 2013-02-27 |
| 1952638025 | Allstar Counseling Inc. | Case Management | 550 2nd Street, Suite 269, Idaho Falls, ID 83401 | 2009-11-11 |
| 1215160882 | Clifford Joshua Alexander | Social Worker | 345 Tabor Ave, Idaho Falls, ID 83401 | 2009-08-31 |
| Find all providers in zip 83401 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447343462 | Janice Kytle Seargent | Rehabilitation Practitioner | 1820 E 17th Street, Suite 120, Idaho Falls, ID 83404-6472 | 2006-10-02 |
| 1366964736 | Katherine Ann Rodriguez | Rehabilitation Practitioner | 540 3rd St, Idaho Falls, ID 83404 | 2017-07-07 |
| 1710291117 | Lloyd Cody Luke | Rehabilitation Practitioner | 1740 E 17th St, Suite C, Idaho Falls, ID 83404-6375 | 2010-07-28 |
| 1154593705 | Eastern Idaho Spine Center | Rehabilitation Practitioner | 2860 Channing Way, Ste 112, Idaho Falls, ID 83404-7531 | 2008-03-24 |
| 1225180110 | Western Center for Rehabilitation | Rehabilitation Practitioner | 2860 Channing Way, 114, Idaho Falls, ID 83404-7531 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538792049 | Jeremy Edward Miller | Rehabilitation Practitioner | 5338 W Spaulding St, Boise, ID 83705-2741 | 2020-02-13 |
| 1891335303 | Patricia Deanne Watson | Rehabilitation Practitioner | 1134 Evergreen Rd, Craigmont, ID 83523-5006 | 2020-01-13 |
| 1629431606 | Cheryl Lynnette Lowman | Rehabilitation Practitioner | 427 Jackson St, Twin Falls, ID 83301-4750 | 2016-03-29 |
| 1447522008 | Gina Marie Miller | Rehabilitation Practitioner | 3423 N Centrepoint Way Unit G103, Meridian, ID 83646-6722 | 2012-01-29 |
| 1689235731 | Elizabeth Toscan | Rehabilitation Practitioner | 130 S Midland Blvd, Nampa, ID 83686-2601 | 2019-06-27 |
| 1790252526 | Amanda R Bailey | Rehabilitation Practitioner | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-10-30 |
| 1811463771 | Kristian Leigh Carson | Rehabilitation Practitioner | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-10-18 |
| 1902372857 | Luis Esteban Chavolla | Rehabilitation Practitioner | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-10-18 |
| 1184103335 | Shauna Rae Herman | Rehabilitation Practitioner | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-08-08 |
| 1801372529 | Courtney Alisha Pellow | Rehabilitation Practitioner | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-07-16 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83401 |
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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.