Active NPI
Amie Bartholomeus, LMP
- Massage Therapist
- Boise, ID
National Provider Identifier
1295139137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MASG95
- Practice address
- 100 East Idaho Street
St Luke'S Mountain States Tumor Institute
Boise, ID 83712 - Phone
- (208) 706-5287
- NPI assigned
- Oct 21, 2014
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MASG95 | ID | Primary |
Addresses
Primary practice location
100 East Idaho Street
St Luke'S Mountain States Tumor Institute
Boise, ID 83712
Mailing address
100 East Idaho Street
St Luke'S Mountain States Tumor Institute
Boise, ID 83712
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
| License | State | Type | Specialty |
|---|---|---|---|
| MASG95 | ID | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413849600000",
"number": "1295139137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 EAST IDAHO STREET",
"address_2": "ST LUKE'S MOUNTAIN STATES TUMOR INSTITUTE",
"city": "BOISE",
"state": "ID",
"postal_code": "83712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EAST IDAHO STREET",
"address_2": "ST LUKE'S MOUNTAIN STATES TUMOR INSTITUTE",
"city": "BOISE",
"state": "ID",
"postal_code": "83712",
"telephone_number": "208-706-5287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTHOLOMEUS",
"first_name": "AMIE",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-21",
"last_updated": "2014-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ID",
"license": "MASG95",
"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 Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.