Active NPI
Ninon Germain MD PLLC
- Child & Adolescent Psychiatry Physician
- Boise, ID
National Provider Identifier
1104135375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- M8955
- Legal business name
- NINON GERMAIN MD PLLC
- Practice address
- 413 N Allumbaugh St Ste 101
Boise, ID 83704-9219 - Phone
- (208) 323-1125
- Fax
- (208) 323-9604
- NPI assigned
- Oct 5, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Alison Dunbar
- Title
- Reimbursement Manager
- Phone
- (208) 323-1125
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | M8955 | ID | Primary |
Addresses
Primary practice location
413 N Allumbaugh St Ste 101
Boise, ID 83704-9219
Mailing address
413 N Allumbaugh St Ste 101
Boise, ID 83704-9219
Phone (208) 323-1125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1550780 | Other | ID | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Child & Adolescent Psychiatry Physician
- Boise, ID
- NPI 1588705560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1293408000000",
"number": "1104135375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 N ALLUMBAUGH ST STE 101",
"city": "BOISE",
"state": "ID",
"postal_code": "837049219",
"telephone_number": "208-323-1125",
"fax_number": "208-323-9604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 N ALLUMBAUGH ST STE 101",
"city": "BOISE",
"state": "ID",
"postal_code": "837049219",
"telephone_number": "208-323-1125",
"fax_number": "208-323-9604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NINON GERMAIN MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-05",
"last_updated": "2010-12-27",
"status": "A",
"authorized_official_last_name": "DUNBAR",
"authorized_official_first_name": "ALISON",
"authorized_official_title_or_position": "REIMBURSEMENT MANAGER",
"authorized_official_telephone_number": "208-323-1125",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "ID",
"license": "M8955",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "1550780",
"state": "ID"
}
],
"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, 2010; 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.