Active NPI
Amy Ray, FNP-BC
- Family Nurse Practitioner
- Boise, ID
National Provider Identifier
1174778898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 58652
- Practice address
- 3858 N Garden Center Way Ste 100
Boise, ID 83703-5008 - Phone
- (208) 385-7711
- Fax
- (208) 385-0346
- NPI assigned
- Nov 21, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 58652 | ID | Primary |
Addresses
Primary practice location
3858 N Garden Center Way Ste 100
Boise, ID 83703-5008
Mailing address
3858 N Garden Center Way Ste 100
Boise, ID 83703-5008
Phone (208) 385-7711
Other names 1
- Amy Kappler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2021 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58652 | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Alphonsus Regional Medical Center Inc | Past | Accepting new patients | |
| Whiteglove Medical Care - NJ, PC | Family Medicine | Past | Accepting new patients |
| Functional Medicine of Idaho PC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Boise, ID
- NPI 1336656040
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1174778898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3858 N GARDEN CENTER WAY STE 100",
"city": "BOISE",
"state": "ID",
"postal_code": "837035008",
"telephone_number": "208-385-7711",
"fax_number": "208-385-0346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3858 N GARDEN CENTER WAY STE 100",
"city": "BOISE",
"state": "ID",
"postal_code": "837035008",
"telephone_number": "208-385-7711",
"fax_number": "208-385-0346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "AMY",
"name_prefix": "Ms.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-21",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "58652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "KAPPLER",
"credential": "FNP-BC",
"code": "1",
"type": "Former Name"
}
]
}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 Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.