A New Leaf, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

4ANEWLEAF142 Issued in ID

Legal business name

A NEW LEAF, INC.

Practice address

2548 N Stokesberry PL
Meridian, ID 83646-1144

Phone

(208) 939-3888

Fax

(208) 939-5599

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Amy Lynne Wright, MA, ED

Title

Administrator, Co-Owner

Phone

(208) 939-3888

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• A New Leaf, Inc. Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• A New Leaf, Inc

  • Family Medicine Physician
  • Meridian, ID
  • NPI 1629492814
  NPPES parent name

Practitioners 6

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

• Mary Louise Brown, LCSW

  • Clinical Social Worker
  • Emmett, ID
  • NPI 1972211225
  NPD (past)
• Luther Ryan Hale, LCSW

  • Clinical Social Worker
  • Emmett, ID
  • NPI 1285963223
  NPD (past)
• Logan Johnson, LMSW

  • Clinical Social Worker
  • Emmett, ID
  • NPI 1699628818

  Single Specialty

  NPD (past)
• Katelyn McKirgan, LMSW

  • Social Worker
  • Emmett, ID
  • NPI 1154060952
  NPD (past)
• Heidi Anne Posey

  • Physician Assistant
  • Boise, ID
  • NPI 1851520316
  NPD (past)
• Clayton Lynn Smith, LMSW

  • Clinical Social Worker
  • Meridian, ID
  • NPI 1811474877
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577318400000",
    "number": "1114063344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 N. STOKESBERRY PLACE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465035",
            "telephone_number": "208-939-3888",
            "fax_number": "208-939-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2548 N STOKESBERRY PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461144",
            "telephone_number": "208-939-3888",
            "fax_number": "208-939-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A NEW LEAF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "ADMINISTRATOR, CO-OWNER",
        "authorized_official_telephone_number": "208-939-3888",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, ED"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "ID",
            "license": "4ANEWLEAF142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807484600",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807481700",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807650000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A New Leaf, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Developmentally Disabled Services Day Training Agency in Meridian, ID
• Providers in Meridian, ID by specialty
• Developmentally Disabled Services Day Training Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.