Active NPI
Ryan James Rasmussen, MK, RCEP, CCT
- Clinical Exercise Physiologist
- Boise, ID
National Provider Identifier
1023500162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Exercise Physiologist
- License
- 1055541
- Practice address
- 9976 W Emerald St
Boise, ID 83704-9769 - Phone
- (208) 229-3742
- NPI assigned
- Jun 5, 2018
- Last updated
- Jun 5, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Exercise Physiologist | 224Y00000X | 1055541 | ID | Primary |
Addresses
Primary practice location
9976 W Emerald St
Boise, ID 83704-9769
Mailing address
8278 W Limelight St Apt 306
Boise, ID 83714-6199
Phone (208) 901-5666
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1055541 | ID | MD | Clinical Exercise Physiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Responders Health Center, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Boise, ID
- NPI 1912189481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528156800000",
"number": "1023500162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8278 W LIMELIGHT ST APT 306",
"city": "BOISE",
"state": "ID",
"postal_code": "837146199",
"telephone_number": "208-901-5666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9976 W EMERALD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837049769",
"telephone_number": "208-229-3742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASMUSSEN",
"first_name": "RYAN",
"middle_name": "JAMES",
"credential": "MK, RCEP, CCT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-05",
"last_updated": "2018-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "224Y00000X",
"taxonomy_group": "",
"desc": "Clinical Exercise Physiologist",
"state": "ID",
"license": "1055541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.