Active NPI
Jill Anderson, APRN, MSN, CCNS
- Cardiac Rehabilitation Registered Nurse
- Boise, ID
National Provider Identifier
1063696979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiac Rehabilitation Registered Nurse
- License
- CNS27
- Practice address
- 6140 W. Curtisian Avenue
Suite 200
Boise, ID 83704-0107 - Phone
- (208) 367-4278
- NPI assigned
- Dec 27, 2007
- Last updated
- Dec 27, 2007
- 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 |
|---|---|---|---|---|
| Cardiac Rehabilitation Registered Nurse | 163WC3500X | CNS27 | ID | Primary |
Addresses
Primary practice location
6140 W. Curtisian Avenue
Suite 200
Boise, ID 83704-0107
Mailing address
6140 W. Curtisian Avenue
Suite 200
Boise, ID 83704-0107
Phone (208) 367-4278
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
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNS27 | ID | MD | Cardiac Rehabilitation Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198713600000",
"number": "1063696979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6140 W. CURTISIAN AVENUE",
"address_2": "SUITE 200",
"city": "BOISE",
"state": "ID",
"postal_code": "837040107",
"telephone_number": "208-367-4278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6140 W. CURTISIAN AVENUE",
"address_2": "SUITE 200",
"city": "BOISE",
"state": "ID",
"postal_code": "837040107",
"telephone_number": "208-367-4278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JILL",
"credential": "APRN, MSN, CCNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-27",
"last_updated": "2007-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WC3500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Cardiac Rehabilitation",
"state": "ID",
"license": "CNS27",
"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 Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.