Individual provider Active NPI

Christie Jeanne Beattie, NP-C

  • Family Nurse Practitioner
  • Boise, ID
National Provider Identifier
1164734240
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-973A Issued in ID
Practice address
3668 N Harbor LN
Boise, ID 83703-6914
Phone
(800) 230-7526
Fax
(208) 376-9444
NPI assigned
Jul 6, 2010
Last updated
Jul 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP-973A ID Primary

Addresses

Primary practice location

3668 N Harbor LN
Boise, ID 83703-6914

Mailing address

3668 N Harbor LN
Boise, ID 83703-6914
Phone (800) 230-7526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130418000133 ID Practitioner - Nurse Practitioner 0749426765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Borron Family Medicine PLLCGroup PAC ID 4284889015, 3 clinicians

Practice addresses (Care Compare)

790 W Ustick Rd
Meridian, ID 83646-5558
Phone (208) 639-3990

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Borron Family Medicine PLLC Family CurrentSince Mar 9, 2013 Accepting new patients
Planned Parenthood of Idaho Past Accepting new patients

Locations

790 W Ustick Rd
Ste 110
Meridian, ID 83646
Phone (208) 288-1454

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1164734240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3668 N HARBOR LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837036914",
            "telephone_number": "800-230-7526",
            "fax_number": "208-376-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3668 N HARBOR LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837036914",
            "telephone_number": "800-230-7526",
            "fax_number": "208-376-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTIE",
        "first_name": "CHRISTIE",
        "middle_name": "JEANNE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-973A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.