Individual provider Active NPI

Michaela Falkner, N.M.D.

  • Naturopath
  • Boise, ID
National Provider Identifier
1285005801
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NMD-0031 Issued in ID
Practice address
4219 W Emerald St
Boise, ID 83706-2036
Phone
(208) 338-0405
Fax
(208) 422-9957
NPI assigned
Oct 8, 2015
Last updated
Dec 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X ND-835 CA
Naturopath 175F00000X 15-1505 AZ
Naturopath 175F00000X NMD-0031 ID Primary

Addresses

Primary practice location

4219 W Emerald St
Boise, ID 83706-2036

Mailing address

4219 W Emerald St
Boise, ID 83706-2036
Phone (208) 338-0405

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15-1505AZMDNaturopath
ND-835CAMDNaturopath
NMD-0031IDMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Boise Natural Health, Inc Naturopath PastSince Nov 16, 2021 Accepting new patients
Bouch Medical Corporation PastSince Sep 1, 2019 Accepting new patients
Hill Park Integrative Medical Center PastSince Sep 1, 2019 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1285005801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4219 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062036",
            "telephone_number": "208-338-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4219 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062036",
            "telephone_number": "208-338-0405",
            "fax_number": "208-422-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALKNER",
        "first_name": "MICHAELA",
        "name_prefix": "Dr.",
        "credential": "N.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND-835",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "15-1505",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "ID",
            "license": "NMD-0031",
            "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 Dec 28, 2022; 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.