Individual provider Active NPI

Tatiana V Khochay

  • Certified Registered Nurse Anesthetist
  • Boise, ID
National Provider Identifier
1063788313
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA-831A Issued in ID
Practice address
1055 N Curtis Rd
Boise, ID 83706-1309
Phone
(208) 367-6416
Fax
(208) 367-2742
NPI assigned
Mar 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X N36575 ID
Certified Registered Nurse Anesthetist 367500000X RNA-831A ID Primary

Addresses

Primary practice location

1055 N Curtis Rd
Boise, ID 83706-1309

Mailing address

1067 E Azan St
Meridian, ID 83646-7682
Phone (208) 794-1559

Other practice location 1

2801 Burgundy dr.
erie, PA 16506
Phone (208) 794-1559

Other practice location 2

2240 W Everest Ln Ste 150
Meridian, ID 83646-6104
Phone (208) 794-1559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120814000035 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365698990 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesiology Consultants of Treasure Valley PLLCGroup PAC ID 4981661196, 27 clinicians

Practice addresses (Care Compare)

1828 S Millenium Way
Meridian, ID 83642-5036
Phone (208) 381-0262

8800 W Emerald St
Boise, ID 83704-8205
Phone (208) 373-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
N36575IDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
West Idaho Anesthesia, LLP Nurse Anesthetist, Certified Registered CurrentSince May 1, 2024 Accepting new patients
Treasure Valley Pain Center, LLC CurrentSince Jan 2, 2024 Accepting new patients
St Alphonsus Professional Medical Services LLC CurrentSince Nov 1, 2023 Accepting new patients
Boise Valley Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2024 Accepting new patients
St Alphonsus Professional Medical Services LLC CurrentSince Nov 1, 2023 Accepting new patients
Anesthesia Consulting Partners Idaho, PC Nurse Anesthetist, Certified Registered CurrentSince Nov 13, 2023 Accepting new patients
Anesthesia Associates of Boise, P.a. PastSince Jun 17, 1997 Accepting new patients

Locations

900 N Liberty St
Ste 450
Boise, ID 83704
Phone (208) 367-7431

8800 W Emerald St
Boise, ID 83704
Phone (208) 373-5000

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

1717 Arlington Ave
Caldwell, ID 83605
Phone (208) 455-3719

3115 Medical Dr
Caldwell, ID 83605
Phone (208) 453-8668

2240 W Everest Ln
#150
Meridian, ID 83646
Phone (208) 794-1559

1828 S Millenium Way
Meridian, ID 83642
Phone (208) 381-0262

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFGFDD

Organizations & group practices 8

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": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1063788313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 E AZAN ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836467682",
            "telephone_number": "208-794-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N CURTIS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061309",
            "telephone_number": "208-367-6416",
            "fax_number": "208-367-2742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Burgundy dr.",
            "address_purpose": "LOCATION",
            "city": "erie",
            "state": "PA",
            "postal_code": "16506",
            "country_code": "US",
            "telephone_number": "208-794-1559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2240 W Everest Ln Ste 150",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836466104",
            "country_code": "US",
            "telephone_number": "208-794-1559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHOCHAY",
        "first_name": "TATIANA",
        "middle_name": "V",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "N36575",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "RNA-831A",
            "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 Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.