Active NPI
Nick Schiele
- Behavior Technician
- Boise, ID
National Provider Identifier
1245945955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 7661 W Riverside Dr Ste 105
Boise, ID 83714-6184 - Phone
- (208) 817-0895
- NPI assigned
- Jan 17, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
7661 W Riverside Dr Ste 105
Boise, ID 83714-6184
Mailing address
7661 W Riverside Dr Ste 105
Boise, ID 83714-6184
Phone (208) 817-0895
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trellis ABA Therapy, LLC | Behavior Technician | Current | Accepting new patients |
Locations
7661 W Riverside Dr
Ste 105
Boise, ID 83714
Phone (208) 817-0895
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1245945955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7661 W RIVERSIDE DR STE 105",
"city": "BOISE",
"state": "ID",
"postal_code": "837146184",
"telephone_number": "208-817-0895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7661 W RIVERSIDE DR STE 105",
"city": "BOISE",
"state": "ID",
"postal_code": "837146184",
"telephone_number": "208-817-0895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIELE",
"first_name": "NICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-17",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.