Active NPI
Simply Womens Health LLC
- Adult Health Nurse Practitioner
- Eagle, ID
National Provider Identifier
1013256379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- SIMPLY WOMENS HEALTH LLC
- Practice address
- 219 S Wooddale Ave
Eagle, ID 83616-7714 - Phone
- (089) 945-5752
- Fax
- (208) 994-5576
- NPI assigned
- Feb 6, 2013
- Last updated
- Oct 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ana Laborde, AGNP-BC
- Title
- Owner/Provider
- Phone
- (208) 994-5575
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | N-27344 | ID | |
| Adult Health Nurse Practitioner | 363LA2200X | Primary | ||
| Gerontology Nurse Practitioner | 363LG0600X |
Addresses
Primary practice location
219 S Wooddale Ave
Eagle, ID 83616-7714
Mailing address
PO Box 1278
Eagle, ID 83616-1278
Phone (208) 994-5575
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664841600000",
"number": "1013256379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1278",
"city": "EAGLE",
"state": "ID",
"postal_code": "836161278",
"telephone_number": "208-994-5575",
"fax_number": "208-994-5576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 S WOODDALE AVE",
"city": "EAGLE",
"state": "ID",
"postal_code": "836167714",
"telephone_number": "089-945-5752",
"fax_number": "208-994-5576"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMPLY WOMENS HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-06",
"last_updated": "2022-10-04",
"certification_date": "2022-06-23",
"status": "A",
"authorized_official_last_name": "LABORDE",
"authorized_official_first_name": "ANA",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "208-994-5575",
"authorized_official_credential": "AGNP-BC"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "ID",
"license": "N-27344",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.