Kuna Healthcare Clinic, PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

KUNA HEALTHCARE CLINIC, PLLC

Practice address

943 N Linder Rd Ste 103
Kuna, ID 83634-3395

Phone

(208) 565-0978

Fax

(208) 902-3834

NPI assigned

Apr 3, 2019

Organization subpart

No

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

Authorized official

Name

Clayleen Jo Harrington, FNPNPI 1952617896

Title

Owner

Phone

(208) 565-0978

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 17

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

• Clayleen Jo Harrington, FNP

  • Family Nurse Practitioner
  • Kuna, ID
  • NPI 1952617896
  Medicare reassignment NPD Authorized official
• Molly Beth Armijo, M.D.

  • Family Medicine Physician
  • Boise, ID
  • NPI 1093750200
  NPD
• Brennan N Carmody, NP

  • Nurse Practitioner
  • Meridian, ID
  • NPI 1629400734
  NPD
• Michael W Foutz, MD

  • Family Medicine Physician
  • Kuna, ID
  • NPI 1992782361
  NPD
• Taylor Ramos, PA-C

  • Physician Assistant
  • Boise, ID
  • NPI 1336754324
  NPD
• Susan Sansom, CNP

  • Nurse Practitioner
  • Meridian, ID
  • NPI 1538611397
  NPD
• Stephanie Kathryn Potter, M.D.

  • Family Medicine Physician
  • Conroe, TX
  • NPI 1609892413
  NPD
• Katherine Michelle Runyan, MD

  • Family Medicine Physician
  • Keizer, OR
  • NPI 1114963717
  NPD
• Clinton W Baker, PA-C

  • Physician Assistant
  • Fruitland, ID
  • NPI 1861483562
  NPD (past)
• Andrew Reed Crawford, PA-C

  • Physician Assistant
  • Eagle, ID
  • NPI 1588987309
  NPD (past)
• Megan Cory McIntyre, PA-C

  • Medical Physician Assistant
  • Kuna, ID
  • NPI 1053644898
  NPD (past)
• Traci H Permenter, PA-C

  • Physician Assistant
  • Boise, ID
  • NPI 1588227656
  NPD (past)

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1114489788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 N LINDER RD STE 103",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836343395",
            "telephone_number": "208-565-0978",
            "fax_number": "208-902-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 N LINDER RD STE 103",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836343395",
            "telephone_number": "208-565-0978",
            "fax_number": "208-902-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUNA HEALTHCARE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "CLAYLEEN",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-565-0978",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "IDTPID013642",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kuna Counseling Center
• Kuna Dental Family Cosmetic & Children's Dentistry
• Kuna Dental PC
• Kuna Family Medical Clinic, P. a.
• Kuna Fire Department
• Kuna Joint School District No.3
• Kuna Kids Dentistry PC (Kuna Kids Dentistry)
• Kuna Minor Emergency LLC
• Kuna Modern Dentistry, P.C. (Kuna Modern Dentistry)
• Kuna Smiles LLC

• Nurse Practitioner in Kuna, ID
• Providers in Kuna, ID by specialty
• Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.