Organization Active NPI

Boise Natural Health, Inc

  • Naturopath
  • Boise, ID
National Provider Identifier
1083742233
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
BOISE NATURAL HEALTH, INC
Practice address
4219 W Emerald St
Boise, ID 83706-2036
Phone
(208) 338-0405
Fax
(208) 422-9957
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Dr. Joan L Haynes, NMDNPI 1699803841
Title
President
Phone
(208) 338-0405

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X Primary

Addresses

Primary practice location

4219 W Emerald St
Boise, ID 83706-2036

Mailing address

4219 W Emerald St
Boise, ID 83706-2036
Phone (208) 338-0405

Other names 1

  • Joan Haynes, Inc Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D1065501Boise Natural Health4219 W Emerald St, Boise, ID 83706Certificate of waiverOct 28, 2026

National Provider Directory

National Provider Directory

Locations

4219 W Emerald St
Boise, ID 83706
Phone (208) 338-0405

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1083742233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4219 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062036",
            "telephone_number": "208-338-0405",
            "fax_number": "208-422-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4219 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062036",
            "telephone_number": "208-338-0405",
            "fax_number": "208-422-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOISE NATURAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-338-0405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NMD"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joan Haynes, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.