Mind and Body Medicine LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MIND AND BODY MEDICINE LLC

Practice address

1880 W Judith LN Ste 220
Boise, ID 83705-3138

Phone

(208) 918-4080

Fax

(208) 473-7338

NPI assigned

Sep 23, 2026

Last updated

Sep 23, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tamara McDonald, DNPNPI 1649840646

Title

Owner

Phone

(208) 918-4080

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tamara M McDonald, DNP, PMHNP, FNP

  • Family Nurse Practitioner
  • Boise, ID
  • NPI 1649840646
  NPD (past) Authorized official

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1265345235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3527 S FEDERAL WAY STE 103-414",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837055204",
            "telephone_number": "208-918-4080",
            "fax_number": "208-473-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 W JUDITH LN STE 220",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837053138",
            "telephone_number": "208-918-4080",
            "fax_number": "208-473-7338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1191 E Iron Eagle Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Eagle",
            "state": "ID",
            "postal_code": "836165146",
            "country_code": "US",
            "telephone_number": "208-918-4080",
            "fax_number": "208-473-7338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND AND BODY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-918-4080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Millward, PA
• Catherine Louise Millward, LPC; LMFT; NBCC
• Dwayne L. Millward, RRT
• Gary J Millward, DPM
• Jana Lee Milton, MS-CCC, SLP
• Christopher Todd Minert, D.D.S.
• Steven M Mings, MD
• Elizabeth Marie Minier
• Margaret Minnaert, CRNA
• Robert Minns, DO

• Family Nurse Practitioner in Boise, ID
• Providers in Boise, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.