Active NPI
River City Integrated Health Inc
- Nurse Practitioner
- Boise, ID
National Provider Identifier
1124677141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- RIVER CITY INTEGRATED HEALTH INC
- Practice address
- 901 N Curtis Rd Ste 103
Boise, ID 83706-1339 - Phone
- (480) 212-3702
- NPI assigned
- Sep 11, 2019
- 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
- Lynnette Khandaker, NP
- Title
- Owner
- Phone
- (480) 212-3702
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
901 N Curtis Rd Ste 103
Boise, ID 83706-1339
Mailing address
1036 E Brush Creek St
Kuna, ID 83634-5542
National Provider Directory
National Provider DirectoryLocations
901 N Curtis Rd
Ste 103
Boise, ID 83706
Phone (208) 367-2670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568160000000",
"number": "1124677141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1036 E BRUSH CREEK ST",
"city": "KUNA",
"state": "ID",
"postal_code": "836345542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N CURTIS RD STE 103",
"city": "BOISE",
"state": "ID",
"postal_code": "837061339",
"telephone_number": "480-212-3702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER CITY INTEGRATED HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-11",
"last_updated": "2019-09-11",
"status": "A",
"authorized_official_last_name": "KHANDAKER",
"authorized_official_first_name": "LYNNETTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-212-3702",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Sep 11, 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.