Active NPI
Russell Bolton Harmony, NP
- Interventional Pain Medicine Physician
- Meridian, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- NP-1275A
- Practice address
- 1859 S Topaz Way Ste 106
Meridian, ID 83642-4401 - Phone
- (208) 672-4640
- Fax
- (208) 957-6300
- NPI assigned
- Feb 19, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 774657 | CA | |
| Family Nurse Practitioner | 363LF0000X | 21853 | CA | |
| Family Nurse Practitioner | 363LF0000X | NP-1275A | ID | |
| Interventional Pain Medicine Physician | 208VP0014X | NP-1275A | ID | Primary |
Addresses
Primary practice location
1859 S Topaz Way Ste 106
Meridian, ID 83642-4401
Mailing address
6140 W Curtisian Ave Ste 400
Boise, ID 83704-8907
Phone (208) 672-4640
Other practice location 1
6140 W Curtisian Ave Ste 400
Boise, ID 83704-8907
Phone (208) 672-4640
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 672-4640
Hospital & facility affiliations
- St Luke'S Regional Medical Center
- Saint Alphonsus Regional Medical Center
- Saint Alphonsus Medical Center - Nampa
- Treasure Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 774657 | CA | MD | Registered Nurse |
| NP-1275A | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elaine Key MD PLLC | Current | Accepting new patients | |
| Idaho Spine & Pain PLLC | Pain Medicine | Current | Accepting new patients |
Locations
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
6140 W Curtisian Ave
Ste 400
Boise, ID 83704
Phone (208) 327-5600
1859 S Topaz Way
Ste 106
Meridian, ID 83642
Phone (208) 475-3720
3875 E Overland Rd
Meridian, ID 83642
Phone (208) 327-5600
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 and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Meridian, ID
- NPI 1306291836
-
- Anesthesiology Physician
- Boise, ID
- NPI 1245680099
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nampa, ID
- NPI 1659371870
-
- General Acute Care Hospital
- Boise, ID
- NPI 1184155426
-
- General Acute Care Hospital
- Boise, ID
- NPI 1457414948
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Hospital
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
- Special Hospital
- Boise, ID
- NPI 1720040132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1194065730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6140 W CURTISIAN AVE STE 400",
"city": "BOISE",
"state": "ID",
"postal_code": "837048907",
"telephone_number": "208-672-4640",
"fax_number": "208-327-5602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1859 S TOPAZ WAY STE 106",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836424401",
"telephone_number": "208-672-4640",
"fax_number": "208-957-6300"
}
],
"practiceLocations": [
{
"address_1": "6140 W Curtisian Ave Ste 400",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837048907",
"country_code": "US",
"telephone_number": "208-672-4640",
"fax_number": "208-327-5602",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARMONY",
"first_name": "RUSSELL",
"middle_name": "BOLTON",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-19",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "774657",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "21853",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "NP-1275A",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "ID",
"license": "NP-1275A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.