Ericka Obaitek

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-38750 Issued in ID

Practice address

1529 Belmont St
Boise, ID 83706-8370

Phone

(208) 426-1459

NPI assigned

Jul 18, 2019

Last updated

Jul 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boise State Health Center

  dba Boise State University

  • Student Health Clinic/Center
  • Boise, ID
  • NPI 1194865444
  NPD

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1396398327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 W BOISE AVE APT D",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 BELMONT ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837068370",
            "telephone_number": "208-426-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBAITEK",
        "first_name": "ERICKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-38750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erickaobaitek@boisestate.edu",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1529 Belmont St",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837068370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mitchell T Oakes, LMSW
• Shellie Ann Oakley, MPT
• W Christian Oakley, MD
• Oasis Medical Center LLC
• OB-GYN Center PA
• Delaney Breanne Obaldia, MA, LPC
• Jennifer Obenshain, LCSW
• Larry Michael Oborn, PA-C
• Darin J Obrien, CRNA
• Timothy Tracy Obrien, DDS, MD

• Social Worker in Boise, ID
• Providers in Boise, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.