Individual provider Active NPI

Elizabeth Sayre, MSSA

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1275876344
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
32250 Issued in ID
Practice address
1001 N 27TH St
Boise, ID 83702-2202
Phone
(208) 696-1645
NPI assigned
Mar 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 32250 ID Primary

Addresses

Primary practice location

1001 N 27TH St
Boise, ID 83702-2202

Mailing address

1402 W Camel Back LN
# 237
Boise, ID 83702-6569
Phone (208) 696-1645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131024000540 ID Practitioner - Clinical Social Worker 6507091717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Boise, ID 83712
Phone (208) 696-1645

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32250IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rahmana Elizabeth Sayre CurrentSince Jan 29, 2013 Accepting new patients

Locations

750 E Warm Springs Ave
Ste D1
Boise, ID 83712
Phone (208) 562-7408

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": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1275876344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 W CAMEL BACK LN",
            "address_2": "# 237",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026569",
            "telephone_number": "208-696-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N 27TH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837022202",
            "telephone_number": "208-696-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYRE",
        "first_name": "ELIZABETH",
        "credential": "MSSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "32250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.