Active NPI
Amy Hoffmann, NP
- Adult Health Nurse Practitioner
- Boise, ID
National Provider Identifier
1154436426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- NP356-A
- Practice address
- 3210 N Mountain View Dr
Boise, ID 83704-4635 - Phone
- (208) 376-4612
- NPI assigned
- Aug 20, 2006
- Last updated
- Jul 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | NP356-A | ID | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | NP 356-A | ID |
Addresses
Primary practice location
3210 N Mountain View Dr
Boise, ID 83704-4635
Mailing address
3210 N Mountain View Dr
Boise, ID 83704-4635
Phone (208) 376-4612
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57335061 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP356-A | ID | MD | Adult Health Nurse Practitioner |
| NP 356-A | ID | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310515200000",
"number": "1154436426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3210 N MOUNTAIN VIEW DR",
"city": "BOISE",
"state": "ID",
"postal_code": "837044635",
"telephone_number": "208-376-4612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3210 N MOUNTAIN VIEW DR",
"city": "BOISE",
"state": "ID",
"postal_code": "837044635",
"telephone_number": "208-376-4612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMANN",
"first_name": "AMY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2011-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "ID",
"license": "NP356-A",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "ID",
"license": "NP 356-A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "57335061",
"state": "CO"
}
],
"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 Jul 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.