CAROL KLETT VANCE M.D.
NPI 1417012022
Pediatrics - Neurodevelopmental Disabilities in Ammon, ID

Q: What is Carol Vance's NPI number?

The NPI number for Carol Vance is 1417012022. It was assigned to this individual provider in the NPPES registry on December 26, 2006.

Q: What is Carol Vance's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neurodevelopmental Disabilities, with taxonomy code 2080P0008X.

Q: When was this NPI record last updated?

The NPPES record for Carol Vance was last updated on March 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 26, 2006

1619 CURLEW DR STE 6, AMMON, ID 83406(208) 523-4688(208) 523-4990 Get Directions Write a Review

NPPES record last updated: March 5, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Carol Klett Vance M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROL KLETT VANCE M.D. (NPI 1417012022) is an individual neurodevelopmental disabilities provider in Ammon, Idaho, licensed in Idaho (M9751) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1417012022

Entity TypeIndividualFemale

Primary Taxonomy2080P0008X

Provider Legal NameCAROL KLETT VANCECredential: M.D.

Location Address1619 CURLEW DR STE 6Ammon, ID 83406-4719

Mailing Address1619 Curlew Dr Ste 6Ammon, ID 83406-4719 · (208) 523-4688 · Fax (208) 523-4990

Phone(208) 523-4688

Fax(208) 523-4990

Sole ProprietorYes

Enumeration DateDecember 26, 2006

Last NPPES UpdateMarch 5, 2008

✔ NPI 1417012022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neurodevelopmental DisabilitiesAllopathic & Osteopathic Physicians

Taxonomy Code2080P0008X

License✔ Licensed in ID · M9751

Definition

A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

1619 CURLEW DR STE 6, Ammon, ID 83406

Open in Google Maps ↗

Other Identifiers 2

Other000010158422ID · Regence Blueshield

OtherB6254ID · Bcbs

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carol Vance's NPI number?

The NPI number for Carol Vance is 1417012022. It was assigned to this individual provider in the NPPES registry on December 26, 2006.

Where is Carol Vance located?

Carol Vance practices at 1619 Curlew Dr Ste 6, Ammon, ID 83406. The listed phone number is (208) 523-4688.

What is Carol Vance's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neurodevelopmental Disabilities, with taxonomy code 2080P0008X.

When was this NPI record last updated?

The NPPES record for Carol Vance was last updated on March 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.