Organization Active NPI

Wildwood Pelvic Health

  • Nurse Practitioner
  • Boise, ID
National Provider Identifier
1265308662
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
WILDWOOD PELVIC HEALTH
Practice address
1000 N Curtis Rd Ste 305
Boise, ID 83706-1347
Phone
(208) 740-3786
Fax
(208) 740-3786
NPI assigned
Oct 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Amy Aleasha Carol Dunn, FNPNPI 1528845732
Title
Owner
Phone
(208) 957-3978

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

1000 N Curtis Rd Ste 305
Boise, ID 83706-1347

Mailing address

1000 N Curtis Rd Ste 305
Boise, ID 83706-1347
Phone (208) 957-3978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260217000188 ID Part B Supplier - Clinic/Group Practice 3577043801 Receives reassigned benefits from 1 practitioner
Practice locations: Boise, ID

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2336331Wildwood Pelvic Health LLC1000 N Curtis Rd Ste 305, Boise, ID 83706Certificate of waiverDec 29, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1265308662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N CURTIS RD STE 305",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061347",
            "telephone_number": "208-957-3978",
            "fax_number": "866-846-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N CURTIS RD STE 305",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061347",
            "telephone_number": "208-740-3786",
            "fax_number": "208-740-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDWOOD PELVIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "ALEASHA CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-957-3978",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "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 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.