Audrey Dalley, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN8030 Issued in ID

Practice address

496 A St
Idaho Falls, ID 83402-3617

Phone

(208) 552-7100

Fax

(208) 552-7101

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Counseling Center of Southeast Idaho

  • Public Health or Welfare Agency
  • Idaho Falls, ID
  • NPI 1639116627
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1144330374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 JEFFERSON ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211818",
            "telephone_number": "208-785-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 A ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023617",
            "telephone_number": "208-552-7100",
            "fax_number": "208-552-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLEY",
        "first_name": "AUDREY",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "ID",
            "license": "PN8030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Marie Dabell, LCSW
• Michelle Dahlberg, CCC-SLP
• Chad Steven Dahle, RCS
• Clark R Daines, MD
• Dallco Orthopaedics and Sports Medicine
• Jason Dallimore, LPC
• Jason Dalling, M.D.
• Daniel K Hinckley MD PA
• Zachary Lucas Daniels
• Kathleen Dannehl

• Licensed Practical Nurse in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Licensed Practical Nurse in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.