Active NPI
Kathryn Laura Cnossen, NP-C
- Family Nurse Practitioner
- Boise, ID
National Provider Identifier
1003403338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 66210
- Practice address
- 8000 S Federal Way
Boise, ID 83716-9632 - Phone
- (208) 368-2109
- NPI assigned
- Dec 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 66210 | ID | Primary |
Addresses
Primary practice location
8000 S Federal Way
Boise, ID 83716-9632
Mailing address
8000 S Federal Way
Boise, ID 83716-9632
Other practice location 1
10583 W Lake Hazel Rd
Boise, ID 83709-6326
Phone (208) 302-5950
Other names 1
- Kathryn Laura Humphreys
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Katy.cnossen@workcare.com | Direct | WorkCare Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- kcnossen1563815@direct.trinity-health.org
- katy.cnossen@workcare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1003403338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8000 S FEDERAL WAY",
"city": "BOISE",
"state": "ID",
"postal_code": "837169632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 S FEDERAL WAY",
"city": "BOISE",
"state": "ID",
"postal_code": "837169632",
"telephone_number": "208-368-2109"
}
],
"practiceLocations": [
{
"address_1": "10583 W Lake Hazel Rd",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837096326",
"country_code": "US",
"telephone_number": "208-302-5950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CNOSSEN",
"first_name": "KATHRYN",
"middle_name": "LAURA",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-21",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "66210",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Katy.cnossen@workcare.com",
"affiliation": "Y",
"endpointDescription": "Email",
"affiliationName": "WorkCare Inc",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "300 S Harbor Blvd",
"address_2": "Ste 600",
"city": "Anaheim",
"state": "CA",
"country_code": "US",
"postal_code": "92805",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "HUMPHREYS",
"middle_name": "LAURA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.