Adreeanna Kaye Scrivner, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

39778 Issued in ID

Practice address

1520 W State St
Boise, ID 83702-4085

Phone

(208) 947-7700

Fax

(208) 947-7701

NPI assigned

Jan 13, 2025

Last updated

Jan 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Lukes Regional Medical Center

  dba St Lukes Meridian Medical Center

  • General Acute Care Hospital
  • Boise, ID
  • NPI 1770586794
  NPD (past)

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1114737921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4680 N MCKINLEY PARK AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461608",
            "telephone_number": "208-602-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 W STATE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024085",
            "telephone_number": "208-947-7700",
            "fax_number": "208-947-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRIVNER",
        "first_name": "ADREEANNA",
        "middle_name": "KAYE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "ID",
            "license": "39778",
            "primary": true
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "OR",
            "license": "202100022RN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara M Scott, BSN RN
• Sierra Rose Scott
• Scott's Ongoing Services, Inc.
• Michael John Scovill, M.COUN, LCPC
• Michelle Annette Scoville-Dorman, LPC
• Cody J Scrivner, PA-C
• Velma Seabolt, CRNP
• Jeffrey T Seabourn, M.D.
• Wendy L Seagraves, LCSW
• Karen Seal

• Ambulatory Care Registered Nurse in Boise, ID
• Providers in Boise, ID by specialty
• Ambulatory Care Registered Nurse in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.