Organization Active NPI

Independent School District of Boise City

  • Local Education Agency (LEA)
  • Boise, ID
National Provider Identifier
1447304142
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
INDEPENDENT SCHOOL DISTRICT OF BOISE CITY
Practice address
8169 W Victory Rd
Boise, ID 83709-4164
Phone
(208) 287-2144
Fax
(208) 424-3210
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Mr. Todd Kenneth Levesque
Title
Systems Manager
Phone
(208) 922-3093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X ID Primary

Addresses

Primary practice location

8169 W Victory Rd
Boise, ID 83709-4164

Mailing address

104 E Fairview Ave Ste 201
Meridian, ID 83642-1733
Phone (208) 922-3093

Other identifiers 1

IdentifierTypeStateIssuer
002816400MedicaidID

National Provider Directory

National Provider Directory

Locations

8169 W Victory Rd
Boise, ID 83709
Phone (208) 854-4173

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1447304142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E FAIRVIEW AVE STE 201",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421733",
            "telephone_number": "208-922-3093",
            "fax_number": "208-922-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8169 W VICTORY RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837094164",
            "telephone_number": "208-287-2144",
            "fax_number": "208-424-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT SCHOOL DISTRICT OF BOISE CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "LEVESQUE",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "SYSTEMS MANAGER",
        "authorized_official_telephone_number": "208-922-3093",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002816400",
            "state": "ID"
        }
    ],
    "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 Jun 24, 2008; 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.