Active NPI
Cheryl C Amyx
- Nurse Practitioner
- Boise, ID
National Provider Identifier
1275545568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP-414A
- Practice address
- 4750 N Five Mile Rd
Boise, ID 83713-2715 - Phone
- (208) 375-0500
- Fax
- (208) 375-4310
- NPI assigned
- Aug 13, 2006
- Last updated
- Oct 15, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP-414A | ID | Primary |
Addresses
Primary practice location
4750 N Five Mile Rd
Boise, ID 83713-2715
Mailing address
4750 N Five Mile Rd
Boise, ID 83713-2715
Phone (208) 375-0500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000100034952 | Other | ID | BLUE SHIELD |
| 806116100 | Medicaid | ID | |
| NPGD5 | Other | ID | BLUE CROSS |
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-414A | ID | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224028800000",
"number": "1275545568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 N FIVE MILE RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837132715",
"telephone_number": "208-375-0500",
"fax_number": "208-375-4310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 N FIVE MILE RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837132715",
"telephone_number": "208-375-0500",
"fax_number": "208-375-4310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMYX",
"first_name": "CHERYL",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2008-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "NP-414A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "0000100034952",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806116100",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "NPGD5",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
- L Stephen Ammann, LMSW
- Melanie Christina Amoruso, DPT
- Amplified Speech and Language LLC
- Amplify Group LLC (House of Hearing Audiology Clinic)
- Amy Absalonson Play Therapy and Counseling
- Donna J Amyx, CERTIFIED FITTER
- Anacker Clinic of Chiropractic, P.C.
- Jennifer Lynn Anacker, DC
- Analytic Associates, PLLC (Stanley Zuckerman)
- Anchored Life Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.