Elizabeth Cablik, N.P.,

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

54782 Issued in ID

Practice address

1075 N Curtis Rd, Suite 300
Samg Coughlin Clinic Boise
Boise, ID 83706-1300

Phone

(208) 302-3100

Fax

(208) 302-3155

NPI assigned

Mar 9, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Coughlin Other name

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• St Lukes Clinic-Treasure Valley LLC

  • Family Medicine Physician
  • Boise, ID
  • NPI 1326336058
  NPD

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306387329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421026",
            "telephone_number": "208-302-3100",
            "fax_number": "208-302-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 N CURTIS RD, SUITE 300",
            "address_2": "SAMG COUGHLIN CLINIC BOISE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061300",
            "telephone_number": "208-302-3100",
            "fax_number": "208-302-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABLIK",
        "first_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "N.P.,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "54782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "COUGHLIN",
            "credential": "N.P.,",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jolyn Byrns
• James William Byron, RPH
• Antoniea Pauline Bzdell, MS CCC-SLP
• C.a.R.E. 200, P.a.
• Delena Mae Caagbay, PT
• Enrique Cabrera
• Jody Cacioppo, FNP-C
• Levi Cadman, DC
• Kara Lane Cadwallader, M.D.
• Nikola Ann Cafarelli, PA

• All providers in Boise, ID
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.