Organization Active NPI

The Neighborhood Clinic, LLC

Doing business as Auburn Crest Primary and Palliative Care

  • Family Medicine Physician
  • Boise, ID
National Provider Identifier
1083098727
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THE NEIGHBORHOOD CLINIC, LLC
Doing business as
Auburn Crest Primary and Palliative Care
Practice address
3751 N Cloverdale Rd
Boise, ID 83713-3610
Phone
(208) 321-5073
Fax
(208) 376-0269
NPI assigned
Jul 13, 2015
Last updated
May 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
Jason Fletcher
Title
Owner
Phone
(208) 376-7298

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NU
Family Medicine Physician 207Q00000X NU Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X NU

Addresses

Primary practice location

3751 N Cloverdale Rd
Boise, ID 83713-3610

Mailing address

PO Box 1176
Meridian, ID 83680-1176
Phone (208) 376-7298

Other practice location 1

8382 N Wayne Dr Ste 205
Hayden, ID 83835-6028
Phone (208) 665-8111

Other names 1

  • Auburn Crest Primary and Palliative Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150803001129 ID Part B Supplier - Clinic/Group Practice 6709190861 Receives reassigned benefits from 7 practitioners
Practice locations: Hayden, ID; Boise, ID

National Provider Directory

National Provider Directory

Locations

8382 N Wayne Dr
Ste 205
Hayden, ID 83835
Phone (208) 506-5736

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1083098727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1176",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836801176",
            "telephone_number": "208-376-7298",
            "fax_number": "208-377-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 N CLOVERDALE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837133610",
            "telephone_number": "208-321-5073",
            "fax_number": "208-376-0269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8382 N Wayne Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Hayden",
            "state": "ID",
            "postal_code": "838356028",
            "country_code": "US",
            "telephone_number": "208-665-8111",
            "fax_number": "208-665-8112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE NEIGHBORHOOD CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-376-7298"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Auburn Crest Primary and Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.