DOROTHY L MATTISE CRNA
NPI 1457306870
Nurse Anesthetist, Certified Registered in Boise, ID
NPI Status: Active since May 24, 2006
- Individual
- Female
- Nurse Anesthetist, Certified Registered
About DOROTHY MATTISE
This page provides the complete NPI Profile along with additional information for Dorothy Mattise, a provider established in Boise, Idaho with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1457306870 assigned on May 2006. The practitioner's primary taxonomy code is 367500000X with license number RNA120 (ID). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1457306870
- Provider Name
- DOROTHY L MATTISE CRNA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1055 N CURTIS RD BOISE, ID 83706
- Location Phone
- (208) 367-6416
- Mailing Address
- PO BOX 4268 PORTLAND, OR 97208
- Mailing Phone
- (503) 372-2740
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-24-2006
- Last Update Date
- 04-07-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- RNA120
- License State
- ID
- Taxonomy Description
- (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163W00000X | Nursing Service Providers | Registered Nurse | N7765 (ID) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1600354 | MEDICARE ID-TYPE UNSPECIFIED (04) | ID | |
| 004378300 | MEDICAID (05) | ID |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 5 | 7 | 3 | 0 | 6 | 8 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 10 | 7 | 6 | 0 | 12 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 0 + 7 + 6 + 0 + 1 + 2 + 8 + 1 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1457306870 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1881676948 | DOUGLAS H SCHOONOVER RPH, MBA Individual | Pharmacist | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-2166 |
| 1730165838 | SOUTHERN IDAHO REGIONAL LABORATORY LLC Organization | Clinical Medical Laboratory | 1055 N CURTIS RD BOISE, ID 83706 (800) 574-8854 |
| 1326002189 | DR. JENNIFER R MERCHANT MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6483 |
| 1679524920 | SHELLEY MARIE JACKS MD Individual | Anesthesiology | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
| 1831141282 | KEVIN EUGENE KARTCHNER MD Individual | Anesthesiology | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
| 1396797601 | PATRICIA ANN GAHERTY MD Individual | Anesthesiology | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
| 1518919943 | ANDREW ROSS COHEN MD Individual | Anesthesiology | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
| 1497707830 | DONALD JAMES FOX MD Individual | Anesthesiology | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
| 1720030166 | MICHAEL DAVID GOLD MD Individual | Anesthesiology | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
| 1639122385 | STEVEN DUANE REID MD Individual | Anesthesiology | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
| 1437103934 | DAVID F BEARDMORE M.D. Individual | Family Medicine | 1055 N CURTIS RD BOISE, ID 83706 (208) 322-1730 |
| 1063467637 | BRETT CURLEY CRNA Individual | Nurse Anesthetist, Certified Registered | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
| 1801841820 | JAMES SHIPPERS CRNA Individual | Nurse Anesthetist, Certified Registered | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
| 1033164454 | KAREN COSCIA CRNA Individual | Registered Nurse | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
| 1770539736 | RUTH BORDERS CRNA Individual | Registered Nurse | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
| 1407802127 | MICHAEL JOSEPH SUIDA CRNA Individual | Nurse Anesthetist, Certified Registered | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
| 1174579742 | GARY DON BEVAN CRNA Individual | Nurse Anesthetist, Certified Registered | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
| 1306892807 | LESLIEANN SCHWEIGER CRNA Individual | Nurse Anesthetist, Certified Registered | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
| 1356397491 | NANCY C KOIS M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-2152 |
| 1538115035 | KITTRICK RANDALL DUBOISE CRNA Individual | Registered Nurse | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457306870, enumerated in the NPI registry as an "individual" on May 24, 2006
The provider is located at 1055 N Curtis Rd Boise, Id 83706 and the phone number is (208) 367-6416
The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 24, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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