National Provider Identifier (NPI)
MOUNTAIN HOME AFB


Jurisdiction: Medicare & Medicaid
Source: Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)

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.

MOUNTAIN HOME AFB · Search Result

NPI Name Taxonomy Address Enumeration
1528515012 Jeffrey Reed Physician Assistant 366 Gunfighter Ave Ste 310, Mountain Home Afb, ID 83648-5258 2016-09-01
1538516471 Anthony Christopher Derrico Emergency Medicine 366 Gunfighter Ave Ste 498, Mountain Home Afb, ID 83648-5258 2016-05-20
1851761209 Marissa Redding Occupational Therapy Assistant 8051b Eichenlaub Ct, Mountain Home Afb, ID 83648-1094 2015-09-29
1437495959 Bryan Malcolm Physician Assistant 90 Hope Dr # B6000, Mountain Home Afb, ID 83648-1057 2013-01-02
1306051065 Thomas Michael Smith Social Worker 90 Hope Dr Bldg 1900, Mountain Home Afb, ID 83648 2007-05-14
1316005143 Ronald Wesley Bailey Radiology Mountain Home Afb Medical Group, 90 Hope Drive, Building 6000, Mountain Home Afb, ID 83648 2006-12-05
1063487791 366 Medical Group Clinic/Center 90 Hope Drive Bldg 6000, 366 Medical Group, Mountain Home Afb, ID 83648-1062 2006-02-17
1992780597 Randall Jay Moore Preventive Medicine 366mdg/sgpf, 90 Hope Drive; Bldg 6000, Mountain Home Afb, ID 83648 2005-12-07
1356325666 Joseph Carroll Skinner Jr. Nurse Anesthetist, Certified Registered 366 Mdos, Sgosa, 90 Hope Drive, Mountain Home Afb, ID 83648 2005-11-30
1023007846 Craig Loyd Folsom Dentist 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 2005-10-14
1477547271 Ron Stumbo Pharmacist Mountain Home Afb, Mountain Home Afb, ID 83648 2005-09-07
1598378614 Whitney Mark Galloway Physician Assistant 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2020-08-28
1457908360 Le Ann Marie Egan Psychologist 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2019-08-26
1639725286 Kadeesh Mcnaught Dental Assistant 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2019-08-09
1487200036 Terrance Valdespino Dental Assistant 90 Hope Dr, Mountain Home Afb, ID 83648-1057 2019-08-09
1982259875 David J Emert Dental Assistant 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2019-08-07
1568016103 Dylan Broadwater Pharmacist 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2019-07-31
1497215982 Janette Sue Cooke Dietitian, Registered 90 Hope Dr, Mountain Home Afb, ID 83648-1057 2019-03-21
1598224602 Cody James Murray Dentist 90 Hope Dr, Mountain Home Afb, ID 83648-1057 2019-03-18
1922585140 Heather Ford Military Health Care Provider 90 Hope Dr, Mountain Home Afb, ID 83648-1057 2018-07-20
1639664006 Paul Sahwell Psychologist 90 Hope Dr, Mountain Home Afb, ID 83648-1057 2018-06-27
1528551751 Ryan D Kainrath Military Health Care Provider 90 Hope Dr, Mountain Home Afb, ID 83648-1057 2018-06-12
1700381175 Erin Siebert Military Health Care Provider 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2018-03-28
1265948897 Alyse Marie Denittis Physician Assistant 90 Hope Dr, Mountain Home Afb, ID 83648 2017-12-19
1538684915 Emily Frieda Foxton Physical Therapist 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2017-08-07
1891224473 Jared Getzlaff Military Health Care Provider 90 Hope Dr, Mountain Home Afb, ID 83648 2017-06-07
1548796527 Derek J Dutson Dentist 90 Hope Dr, Mountain Home Afb, ID 83648 2017-05-11
1598298135 Zack Hunter Military Health Care Provider 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2017-04-11
1922456979 Jakob Kamilow Counselor 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2016-06-01
1811345374 Dakota Breish Family Medicine 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2016-05-25
1164893202 Craig Jensen Optometrist 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 2015-10-15
1790165116 Andrew Ames Family Medicine 90 Hope Dr Bldg 6000, Flight Medicine, Mountain Home Afb, ID 83648-1062 2015-06-01
1720467293 Kathleen Murphy Counselor 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2015-05-29
1013396175 Shannon L Wilson Social Worker 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2015-05-22
1093109449 Andrea Lynn Moore Student in an Organized Health Care Education/Training Program 90 Hope Dr, Mountain Home Afb, ID 83648 2015-03-24
1376940502 Christopher Henderson Physician Assistant 90 Hope Dr, Bldg. 6000, Mountain Home Afb, ID 83648-1057 2014-12-03
1730582438 Kyle Christensen Dentist 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 2014-10-08
1124420799 Michael Bocek Pharmacist 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2014-09-25
1649672726 Kristin Kepler Registered Nurse 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2014-09-20
1861800096 Tyree Wolf Military Health Care Provider 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2014-07-31
1144636515 366 Medical Group Sgsbf Pharmacy 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2014-07-07
1821402413 Leigh Anne Palmer Registered Nurse 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2014-06-11
1477973923 Joseph L Boyle Military Health Care Provider 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 2014-04-23
1346665189 Heather Marie Funk Dietitian, Registered 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2014-03-04
1710301544 William Howard Physician Assistant 90 Hope Dr, Bldg 6000, Mountain Home Afb, ID 83648-1057 2014-02-13
1710229687 Paul Michael Bodes Pharmacist 90 Hope Dr Bldg 6000, Pharmacy, Mountain Home Afb, ID 83648-1062 2013-03-19
1174862692 Dennis Jacob Reuter Military Health Care Provider 90 Hope Dr, Mountain Home Afb, ID 83648-1057 2013-02-04
1083965081 Royden D Jones Dentist 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 2012-10-01
1669722781 Leslie Lyn Balcazar Nurse Practitioner 90 Hope Dr, Bldg 6000, Mountain Home Afb, ID 83648-1057 2012-09-17
1578825501 Matthew Christian Brown Family Medicine 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 2012-06-14
1881951903 Michael Ryan Parks Family Medicine 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2012-04-13
1528339884 Sarah A Pullen Psychiatry & Neurology 90 Hope Dr, Mountain Home Afb, ID 83648-1057 2012-01-18
1154604692 Matthew Phillip Polster Optometrist 90 Hope Dr, Mountain Home Afb, ID 83648-1057 2011-09-21
1477833267 Thomas Michael Christy Dentist 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 2011-08-24
1417236928 Debra E Hayton Social Worker 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2011-08-15
1861794026 Jaimee K Sutherland Nurse Practitioner 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 2010-11-21
1982919205 Benjamin Roy Beidel Pharmacist 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2010-08-11
1780918268 Darin K Gere Social Worker 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 2009-09-30
1144554189 Erin Pauline Schmitz Physician Assistant 90 Hope Dr, Building 6000, Mountain Home Afb, ID 83648-1057 2009-09-23
1437386281 Kevin Chih Loh Student in an Organized Health Care Education/Training Program 90 Hope Dr, Bldg 6000, Mountain Home Afb, ID 83648 2009-06-19
1225274368 Joseph Andrew Baxter General Practice 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2008-12-19
1790938371 Samantha Marie Warren Physical Therapist 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 2008-10-28
1306094941 Roberto Olvera Social Worker 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 2008-09-08
1457517112 Chad Luckett Crossley Physical Therapist 90 Hope Dr, Mountain Home Afb, ID 83648 2008-08-01
1275795270 Hattie Mcaviney Family Medicine 90 Hope Dr, Mountain Home Afb, ID 83648-1057 2008-06-30
1598945073 Charlie Ann Collenborne General Practice 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2007-11-13
1053502401 Samuel B Tobler Psychologist 90 Hope Dr, Mountain Home Afb, ID 83648 2007-08-09
1265634364 Judy Ann Hafner Psychologist 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2007-06-01
1912120049 Tamar Elise Sautter Internal Medicine 90 Hope Dr, Mountain Home Afb, ID 83648-1057 2007-04-10
1144373531 Sylvia Lashawn Toomer Dental Hygienist 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2007-01-19
1689730616 Carol D Crisp Nurse Practitioner 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2006-12-27
1801959473 Mt Home Refill Phcy Military/U.S. Coast Guard Pharmacy 90 Hope Dr, Mountain Home Afb, ID 83648 2006-12-18
1780745018 Crescent Seibert Psychologist 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2006-12-12
1811094667 366th Medical Group Sgsl Pharmacy 90 Hope Dr, Bldg 6000, Mountain Home Afb, ID 83648-1057 2006-09-20
1609973916 Shannon Lee Brantley Pharmacist 90 Hope Dr Bldg 6000, 366 Mdss/sgsap, Mountain Home Afb, ID 83648-1062 2006-09-20
1932134350 Paula Michelle Nordstrom Psychologist 90 Hope Dr, Mountain Home Afb, ID 83648-1057 2006-07-12
1336101633 Troy M Schwartz Family Medicine 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 2006-04-04
1932174810 Jeff David Walker Physical Therapist 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 2006-02-22
1669444220 Thomas Madden Social Worker 90 Hope Dr, Mountain Home Afb, ID 83648-1057 2006-02-07
1417944240 Jerrold Neil Flyer Surgery 90 Hope Dr, Building 6000, Mountain Home Afb, ID 83648-1057 2005-10-06
1770579328 Kristine Marie Hackett Nurse Practitioner 90 Hope Dr, 366th Mdg/surgical Operations Squadron, Mountain Home Afb, ID 83648-1057 2005-09-20