LINDA M. HENRIKSON (NPI# 1992913446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992913446 |
| Entity Type | Individual |
| Full Name | LINDA M. HENRIKSON |
| Credential | COTA L |
| Practice Address |
1130 Allumbaugh St Boise ID 83704-8700 |
| Mailing Address |
6122 Glencrest Ave Boise ID 83714-6103 |
| Practice Telephone | 2088548517 |
| Mailing Telephone | 2088537788 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | OTA082 | ID | Other Service Providers |
| Street Address |
1130 ALLUMBAUGH ST |
| City | BOISE |
| State | ID |
| Zip Code | 83704-8700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225243371 | Jonathan Bird | Physical Therapist | 1130 Allumbaugh St, Boise, ID 83704-8700 | 2007-05-11 |
| 1558579979 | Matthew Alan Henslee | Nursing Facility/Intermediate Care Facility | 1130 Allumbaugh St, Boise, ID 83704-8700 | 2007-05-18 |
| 1235347626 | Ilan Golik | Physical Therapist | 1130 Allumbaugh St, Boise, ID 83704-8700 | 2007-05-18 |
| 1003023334 | Dianne Denise Nelson | Physical Therapist | 1130 Allumbaugh St, Boise, ID 83704-8700 | 2007-05-17 |
| 1932316759 | Remick Lei Hardy | Occupational Therapy Assistant | 1130 Allumbaugh St, Boise, ID 83704-8700 | 2007-05-17 |
| 1285840058 | Terri Dale Whitmore | Physical Therapy Assistant | 1130 Allumbaugh St, Boise, ID 83704-8700 | 2007-05-16 |
| 1396951208 | Reema Arun Khanolkar | Physical Therapist | 1130 Allumbaugh St, Boise, ID 83704-8700 | 2007-05-15 |
| 1104032101 | Lori Ann Graber | Specialist | 1130 Allumbaugh St, Boise, ID 83704-8700 | 2007-05-15 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851855803 | Lauren Rybarczyk | Specialist | 11498 W Carmichael Dr, Boise, ID 83709-7382 | 2019-01-24 |
| 1851834311 | Tegan Shuman | Specialist | 7307 W San Fernando Dr, Boise, ID 83704-5953 | 2016-11-30 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1093119042 | Robert Porter II | Specialist | 1346 E Candleridge Dr, Boise, ID 83712-6504 | 2014-10-20 |
| 1760885073 | Kelcee Keyes | Specialist | 1705 N Cole Rd, Boise, ID 83704-7304 | 2014-09-30 |
| 1386053213 | Keita Shimada | Specialist | 1910 University Dr # Ms 1020, Boise, ID 83725-0001 | 2014-08-05 |
| 1316373186 | Ralph V Nishitani | Specialist | 9317 W Pandion Ct, Boise, ID 83714-6715 | 2013-09-24 |
| 1548608094 | James Doyce Strong Jr. | Specialist | 3675 S Pimmit Ave, Boise, ID 83706-6416 | 2013-06-06 |
| 1649409269 | Iris Ginron Baker | Specialist | 3555 N Cole Rd, 105, Boise, ID 83704-0733 | 2009-07-02 |
| 1356589931 | Jay T. Ballhagen | Specialist | 10500 W Waterway Ct, Boise, ID 83714-3616 | 2009-02-04 |
| 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.