Leona Jo'Anne' Church, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

NP-157A Issued in ID

Practice address

1655 W Fairview Ave Ste 206
Boise, ID 83702-5190

Phone

(208) 395-0000

Fax

(208) 395-0009

NPI assigned

Dec 13, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

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.

• North End Children's Health Clinic

  • Health Service Clinic/Center
  • Boise, ID
  • NPI 1144382797
  NPD (past) Authorized official

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240444800000",
    "number": "1073675617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 W FAIRVIEW AVE STE 206",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025190",
            "telephone_number": "208-395-0000",
            "fax_number": "208-395-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 W FAIRVIEW AVE STE 206",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025190",
            "telephone_number": "208-395-0000",
            "fax_number": "208-395-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "LEONA",
        "middle_name": "JO'ANNE'",
        "name_prefix": "Dr.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2009-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "ID",
            "license": "NP-157A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805703400",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Stacey Christopher, M.D.
• Chrysalis Counseling
• Chrysalis Counseling LLC
• Jared Anderson Chugg, M.D.
• Lagilelei Church
• Nathan John Church, PA-C
• Matthew Churns, PHARM.D.
• Samantha Cicero, LPC
• Stephanie Ciesla, PNP
• Mitzi M Cieslak, NP

• Pediatric Nurse Practitioner in Boise, ID
• Providers in Boise, ID by specialty
• Pediatric Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.