Active NPI
Christine M. Hall, P.A.-C
- Medical Physician Assistant
- Boise, ID
National Provider Identifier
1366494650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA-468
- Practice address
- 6052 W State St
Boise, ID 83703-2739 - Phone
- (208) 344-7799
- Fax
- (208) 344-7152
- NPI assigned
- May 16, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA-468 | ID | Primary |
Addresses
Primary practice location
6052 W State St
Boise, ID 83703-2739
Mailing address
PO Box 191050
Boise, ID 83719-1050
Phone (208) 955-6500
Other practice location 1
500 W Fort St
# 111
Boise, ID 83702-4501
Phone (208) 422-1325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-468 | ID | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idaho State University | Current | Accepting new patients |
Locations
1311 E Central Dr
Meridian, ID 83642
Phone (208) 373-1734
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.
-
- Primary Care Nurse Practitioner
- Meridian, ID
- NPI 1962095711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1366494650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191050",
"city": "BOISE",
"state": "ID",
"postal_code": "837191050",
"telephone_number": "208-955-6500",
"fax_number": "208-955-6503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6052 W STATE ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837032739",
"telephone_number": "208-344-7799",
"fax_number": "208-344-7152"
}
],
"practiceLocations": [
{
"address_1": "500 W Fort St",
"address_2": "# 111",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837024501",
"country_code": "US",
"telephone_number": "208-422-1325",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALL",
"first_name": "CHRISTINE",
"middle_name": "M.",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "ID",
"license": "PA-468",
"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 13, 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.