Individual provider Active NPI

Heidi L Nanavati, NP

  • Orthopaedic Surgery Physician
  • Boise, ID
National Provider Identifier
1396790606
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
65331 Issued in ID
Practice address
6590 W Norwood Dr
Boise, ID 83704-8765
Phone
(208) 506-3665
Fax
(208) 534-5056
NPI assigned
May 24, 2006
Last updated
Feb 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F334833 NY
Orthopaedic Surgery Physician 207X00000X 65331 ID Primary

Addresses

Primary practice location

6590 W Norwood Dr
Boise, ID 83704-8765

Mailing address

PO Box 44464
Boise, ID 83711-0464
Phone (208) 506-3665

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210525002559 ID Practitioner - Nurse Practitioner 8224032933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3381 W Bavaria St
Eagle, ID 83616-5341
Phone (208) 506-3665

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F334833NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Shoulder to Hand Specialists PC Orthopaedic Surgery CurrentSince Jun 1, 2021 Accepting new patients
Maryland Spine Center Chartered Orthopaedic Surgery Past Accepting new patients

Locations

6590 W Norwood Dr
Boise, ID 83704
Phone (208) 377-4003

3381 W Bavaria St
Eagle, ID 83616
Phone (208) 287-1110

1828 S Millenium Way
Ste 100
Meridian, ID 83642
Phone (208) 381-0262

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHBECD/Endpoint/AHBECD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1396790606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44464",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837110464",
            "telephone_number": "208-506-3665",
            "fax_number": "208-534-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6590 W NORWOOD DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048765",
            "telephone_number": "208-506-3665",
            "fax_number": "208-534-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANAVATI",
        "first_name": "HEIDI",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F334833",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "65331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.