Nicole Childers

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4696 W Overland Rd Ste 182
Boise, ID 83705-2878

Phone

(208) 421-6612

NPI assigned

Oct 22, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Advocate Warriors LLC

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1598425027

  Case Manager/Care Coordinator

  NPD

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1023985132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4696 W OVERLAND RD STE 182",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4696 W OVERLAND RD STE 182",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052878",
            "telephone_number": "208-421-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Cheshire, AU.D
• Candice Chessum
• Michael Muhindo Chibaye
• Thomas J Childers-Scott, LMSW
• Brent Kenner Childers, MD
• Children'S Home Society of Idaho
• Children'S Home Society of Idaho
• Children'S Therapy Place, Inc.
• Children'S Therapy Place, Inc.
• Children'S Therapy Place, Inc.

• Case Manager/Care Coordinator in Boise, ID
• Providers in Boise, ID by specialty
• Case Manager/Care Coordinator in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.