SAINT ALPHONSUS SPECIALTY SERVICES INC (NPI# 1386839132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386839132 |
| Entity Type | Organization |
| Organization Name | SAINT ALPHONSUS SPECIALTY SERVICES INC |
| Other Organization Name | SAINT ALPHONSUS EXPRESS CARE |
| Practice Address |
6560 S Federal Way Boise ID 83716-9277 |
| Mailing Address |
1070 N Curtis Rd Suite 250 Boise ID 83706-1238 |
| Practice Telephone | 2083361645 |
| 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 |
| 1033304886 | Saint Alphonsus Specialty Services Inc | Physician Assistant | 4700 N Eagle Rd, Boise, ID 83713-0744 | 2007-09-13 |
| 1255526000 | Saint Alphonsus Specialty Services Inc | Nurse Practitioner | 1515 W State St, Boise, ID 83702-4039 | 2007-09-13 |
| Street Address |
6560 S FEDERAL WAY |
| City | BOISE |
| State | ID |
| Zip Code | 83716-9277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003862517 | Albertsons LLC | Pharmacy | 6560 S Federal Way, Boise, ID 83716 | 2006-05-26 |
| 1063863595 | Skyler Anderson | Pharmacist | 6560 S Federal Way, Boise, ID 83716-9277 | 2016-06-27 |
| 1801182381 | Melissa Ann Rudyi | Pharmacist | 6560 S Federal Way, Boise, ID 83716-9277 | 2011-06-23 |
| 1730279407 | Bryce Aitken | Nurse Practitioner | 6560 S Federal Way, Boise, ID 83716-9277 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790294973 | The Pt Next Door | Clinic/Center | 6098 E. Grand Prairie Drive, Boise, ID 83716 | 2017-09-20 |
| 1326577610 | Koreen Boydstun | Specialist/Technologist | 3301 Sweetwater Dr, Boise, ID 83716 | 2017-06-08 |
| 1558806117 | Katie Palmer | Behavioral Analyst | 2939 S Shadywood Way, Boise, ID 83716 | 2017-01-05 |
| 1245680099 | Elaine Key Md Pllc | Anesthesiology | 3919 E Timbersaw Dr, Boise, ID 83716 | 2016-06-13 |
| 1174993463 | Daria Elizabeth Karas | Physician Assistant | 8000 S. Federal Way, Boise, ID 83716 | 2015-09-30 |
| 1407239973 | Humangood Idaho | Skilled Nursing Facility | 5301 E Warm Springs Ave, Boise, ID 83716 | 2015-07-02 |
| 1225460066 | Katherine Elizabeth Turnbull | Nurse Practitioner | 2051a E Summersweet Dr, Boise, ID 83716 | 2013-08-03 |
| 1134483845 | Karen D Lodge | Pharmacist | 5211 S Farmhouse Pl, Boise, ID 83716 | 2012-06-27 |
| 1730341827 | Christopher A Thomason | Dentist | 5898 S Quamash Way, Boise, ID 83716 | 2008-06-30 |
| 1861515637 | Tyler John Harrington | Dentist | 2033 E Summersweet Dr, Boise, ID 83716 | 2007-04-09 |
| Find all providers in zip 83716 | ||||
| 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 |
| 1255526000 | Saint Alphonsus Specialty Services Inc | Nurse Practitioner | 1515 W State St, Boise, ID 83702-4039 | 2007-09-13 |
| Find all providers in BOISE | ||||
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| 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.