SAINT ALPHONSUS SPECIALTY SERVICES INC (NPI# 1255526000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255526000 |
| Entity Type | Organization |
| Organization Name | SAINT ALPHONSUS SPECIALTY SERVICES INC |
| Other Organization Name | SAINT ALPHONSUS EXPRESS CARE |
| Practice Address |
1515 W State St Boise ID 83702-4039 |
| Mailing Address |
1070 N Curtis Rd Suite 250 Boise ID 83706-1238 |
| Practice Telephone | 2083456798 |
| Mailing Telephone | 2083677264 |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2018-04-27 |
| Authorized Official Name | ODETTE BOLANO (PRESIDENT) |
| Authorized Official Telephone | 2083672118 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Saint Alphonsus Express Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639364482 | Saint Alphonsus Specialty Services Inc | Nurse Practitioner | 660 E Boise Ave, Boise, ID 83706-5118 | 2007-09-13 |
| 1780879536 | Saint Alphonsus Specialty Services Inc | Nurse Practitioner | 2809 Cleveland Blvd, Caldwell, ID 83605-4443 | 2007-09-13 |
| 1093040479 | Saint Alphonsus Specialty Services Inc | Internal Medicine | 6140 W Curtisian Ave, Ste 200, Boise, ID 83704-0107 | 2009-10-02 |
| 1386839132 | Saint Alphonsus Specialty Services Inc | Nurse Practitioner | 6560 S Federal Way, Boise, ID 83716-9277 | 2007-09-13 |
| 1033304886 | Saint Alphonsus Specialty Services Inc | Physician Assistant | 4700 N Eagle Rd, Boise, ID 83713-0744 | 2007-09-13 |
| Street Address |
1515 W STATE ST |
| City | BOISE |
| State | ID |
| Zip Code | 83702-4039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740224328 | Judy A Kienzle | Nurse Practitioner | 1515 W State St, Boise, ID 83702-4039 | 2006-06-15 |
| 1760093124 | Matthew Araki | Pharmacist | 1515 W State St, Boise, ID 83702-4039 | 2020-08-11 |
| 1538634381 | Justin Hammond | Pharmacist | 1515 W State St, Boise, ID 83702-4039 | 2018-10-08 |
| 1013326156 | Anthony Hollis | Pharmacist | 1515 W State St, Boise, ID 83702-4039 | 2014-08-02 |
| 1871906867 | Kayle Holtry | Pharmacist | 1515 W State St, Boise, ID 83702-4039 | 2014-06-06 |
| 1154767994 | James Miller | Pharmacist | 1515 W State St, Boise, ID 83702-4039 | 2013-05-20 |
| 1376899278 | Denise R Bahadar | Nurse Practitioner | 1515 W State St, Boise, ID 83702-4039 | 2012-07-28 |
| 1043500515 | Michael William Love | Pharmacist | 1515 W State St, Boise, ID 83702-4039 | 2011-04-18 |
| 1669607776 | Cori C. Farrar | Pharmacist | 1515 W State St, Boise, ID 83702-4039 | 2009-05-18 |
| 1104853738 | Linda Ann Whitener | Nurse Practitioner | 1515 W State St, Boise, ID 83702-4039 | 2006-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275199663 | Jason T Elliott | Nurse Practitioner | 12094 N Barn Owl Way, Boise, ID 83714-1363 | 2019-05-12 |
| 1639364482 | Saint Alphonsus Specialty Services Inc | Nurse Practitioner | 660 E Boise Ave, Boise, ID 83706-5118 | 2007-09-13 |
| 1336193598 | Angela K. Hughes | Nurse Practitioner | 6933 W Emerald St, Boise, ID 83704-8616 | 2006-05-20 |
| 1174156962 | Rachel Lynne Davis | Nurse Practitioner | 190 E Bannock St, Boise, ID 83712-6241 | 2020-02-20 |
| 1154823433 | Christopher R Counsil | Nurse Practitioner | 190 E Bannock St, Boise, ID 83712-6241 | 2018-03-02 |
| 1992206742 | Kellie Watson | Nurse Practitioner | 6140 W Curtisian Ave, Boise, ID 83704-8880 | 2018-02-27 |
| 1124562491 | Kimberly Telfer | Nurse Practitioner | 1055 N Curtis Road, Boise, ID 83706 | 2016-12-06 |
| 1881140283 | Ashley Ann Rood | Nurse Practitioner | 190 E Bannock St, Boise, ID 83712-6241 | 2016-08-26 |
| 1255706461 | Jennifer Kienlen | Nurse Practitioner | 1075 N Curtis Rd, Suite 250, Boise, ID 83706-1300 | 2015-12-14 |
| 1386839132 | Saint Alphonsus Specialty Services Inc | Nurse Practitioner | 6560 S Federal Way, Boise, ID 83716-9277 | 2007-09-13 |
| Find all providers in BOISE | ||||
Please comment or provide details below to improve the information on SAINT ALPHONSUS SPECIALTY SERVICES INC.
| 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.