Individual provider Active NPI

Natasha Michele King-Anderson, FNP-C

  • Family Nurse Practitioner
  • Boise, ID
National Provider Identifier
1003579269
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
70102 Issued in ID
Practice address
707 N Armstrong PL
Boise, ID 83704-0825
Phone
(208) 375-5211
NPI assigned
Oct 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 70102 ID Primary

Addresses

Primary practice location

707 N Armstrong PL
Boise, ID 83704-0825

Mailing address

5565 S Aleut PL
Boise, ID 83709-5704
Phone (208) 703-3015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220622000844 ID Practitioner - Nurse Practitioner 2264811249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Health District IVGroup PAC ID 3274887179, 2 clinicians

Practice addresses (Care Compare)

520 E 8TH
Mountain Home, ID 83647-2111
Phone (208) 587-4407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health District IV CurrentSince Apr 24, 2022 Accepting new patients

Locations

707 N Armstrong Pl
Boise, ID 83704
Phone (208) 327-7400

520 E 8th N
Mountain Home, ID 83647
Phone (208) 587-4407

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17981/brand/1/csg/1/fhir/r4
  • Direct secure messaging: natasha.king-anderson.1@17981.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1003579269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 S ALEUT PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837095704",
            "telephone_number": "208-703-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N ARMSTRONG PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837040825",
            "telephone_number": "208-375-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING-ANDERSON",
        "first_name": "NATASHA",
        "middle_name": "MICHELE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "70102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.