Active NPI
Wildwood Pelvic Health
- Nurse Practitioner
- Boise, ID
National Provider Identifier
1265308662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Aleasha Carol Dunn, FNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D2336331 | Wildwood Pelvic Health LLC | Certificate of waiver | Dec 29, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & 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.