NPIMap

Individual provider Active NPI

Dori A Healey, CNS

  • Acute Care Clinical Nurse Specialist
  • Boise, ID
National Provider Identifier
1174245591
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X
License
69240 Issued in ID
Practice address
12404 W View Ridge Dr
Boise, ID 83709-0009
Phone
(208) 550-1097
NPI assigned
Sep 13, 2022
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Clinical Nurse Specialist 364SA2100X 69240 ID Primary

Addresses

Primary practice location

12404 W View Ridge Dr
Boise, ID 83709-0009

Mailing address

12404 W View Ridge Dr
Boise, ID 83709-0009
Phone (208) 550-1097

Other practice location 1

70 N Superior St
Cambridge, ID 83610
Phone (208) 515-3743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230701000089 ID Practitioner - Certified Clinical Nurse Specialist (CNS) 6901265453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dori Healey LLCGroup PAC ID 4183083637, 2 clinicians

Practice addresses (Care Compare)

8059 W Preece Dr
Suite 1106
Boise, ID 83704-9052
Phone (208) 550-3112

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dori Healey LLC Single Specialty CurrentSince May 1, 2023 Accepting new patients

Locations

8059 W Preece Dr
Boise, ID 83704
Phone (208) 550-3112

Organizations & group practices 1

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 10

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": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1174245591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12404 W VIEW RIDGE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837090009",
            "telephone_number": "208-550-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12404 W VIEW RIDGE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837090009",
            "telephone_number": "208-550-1097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 N Superior St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "ID",
            "postal_code": "83610",
            "country_code": "US",
            "telephone_number": "208-515-3743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEALEY",
        "first_name": "DORI",
        "middle_name": "A",
        "credential": "CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "ID",
            "license": "69240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.