Active NPI
Heather E Quinn, MD
- Family Medicine Physician
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M9177
- Practice address
- 123 E Indiana Ave
Spokane, WA 99207-2313 - Phone
- (866) 904-7721
- NPI assigned
- May 20, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD60053286 | WA | |
| Family Medicine Physician | 207Q00000X | M9177 | ID | Primary |
Addresses
Primary practice location
123 E Indiana Ave
Spokane, WA 99207-2313
Mailing address
500 W Fort St
Boise, ID 83702-4501
Phone (208) 244-1000
Other practice location 1
777 N Raymond St
Boise, ID 83704-9251
Phone (208) 514-2500
Other practice location 2
2112 E Franklin Rd
Meridian, ID 83642-9024
Phone (208) 893-6300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 72389 | Other | ID | BLUE CROSS |
| 806997000 | Medicaid | ID | |
| 000010148568 | Other | ID | BLUE SHIELD |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of California, San Diego School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
777 N Raymond St
Boise, ID 83704-9251
Phone (208) 514-2500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M9177 | ID | MD | Family Medicine Physician |
| MD60053286 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Circle Health, Inc. | Current | Accepting new patients | |
| Planned Parenthood of Greater Washington & North Idaho | Family Medicine | Past | Accepting new patients |
Locations
777 N Raymond St
Boise, ID 83704
Phone (208) 367-6030
325 W Idaho St
Boise, ID 83702
Phone (208) 514-2525
6565 W Emerald St
Boise, ID 83704
Phone (208) 377-5055
2275 S Eagle Rd
Ste 120
Meridian, ID 83642
Phone (208) 514-2520
Interoperability endpoints
- hquinn295130@direct.ochin.org
- heather.quinn.1@13077.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Boise, ID
- NPI 1841490075
-
- Family Medicine Physician
- Spokane, WA
- NPI 1346226750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1386698744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W FORT ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837024501",
"telephone_number": "208-244-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 E INDIANA AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992072313",
"telephone_number": "866-904-7721"
}
],
"practiceLocations": [
{
"address_1": "777 N Raymond St",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837049251",
"country_code": "US",
"telephone_number": "208-514-2500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2112 E Franklin Rd",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836429024",
"country_code": "US",
"telephone_number": "208-893-6300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUINN",
"first_name": "HEATHER",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60053286",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M9177",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "72389",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806997000",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000010148568",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.