NPIMap

Organization Active NPI

Julie a Conyers, M.D. PA

  • Specialist
  • Boise, ID
National Provider Identifier
1326203324
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
M8325 Issued in ID
Legal business name
JULIE A CONYERS, M.D. PA
Practice address
300 W Main St
Suite 100
Boise, ID 83702-7700
Phone
(208) 947-7100
NPI assigned
Jul 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Julie A Conyers, MD
Title
Owner
Phone
(208) 947-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X M8325 ID Primary

Addresses

Primary practice location

300 W Main St
Suite 100
Boise, ID 83702-7700

Mailing address

300 W Main St
Suite 100
Boise, ID 83702-7700
Phone (208) 947-7100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1326203324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W MAIN ST",
            "address_2": "SUITE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027700",
            "telephone_number": "208-947-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W MAIN ST",
            "address_2": "SUITE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027700",
            "telephone_number": "208-947-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE A CONYERS, M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-20",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "CONYERS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-947-7100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "ID",
            "license": "M8325",
            "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 14, 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.

Verify at the official NPI Registry.