Individual provider Active NPI

Amber Marsh Woken, FNP

  • Family Nurse Practitioner
  • Meridian, ID
National Provider Identifier
1386354082
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
74664 Issued in ID
Practice address
1254 W White Sands Dr
Meridian, ID 83646-3067
Phone
(208) 559-0354
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 74664 ID
Family Nurse Practitioner 363LF0000X 74664 ID Primary

Addresses

Primary practice location

1254 W White Sands Dr
Meridian, ID 83646-3067

Mailing address

1254 W White Sands Dr
Meridian, ID 83646-3067
Phone (208) 559-0354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 27, 2026 through Apr 27, 2028

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2122 W Everest LN
Meridian, ID 83646-7033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Nutrition Associates, LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

13900 W Wainwright Dr
Ste 102
Boise, ID 83713
Phone (208) 433-9424

Interoperability endpoints

  • Direct secure messaging: amber.marsh@486851367337988.direct.elationemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1386354082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 W WHITE SANDS DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836463067",
            "telephone_number": "208-559-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 W WHITE SANDS DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836463067",
            "telephone_number": "208-559-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOKEN",
        "first_name": "AMBER",
        "middle_name": "MARSH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "74664",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "74664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.