Active NPI
Kathryn Rose Schneider, MD
- Hospitalist Physician
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MR-1057
- Practice address
- 1055 N Curtis Road
Boise, ID 83706 - Phone
- (208) 367-2121
- Fax
- (208) 322-7018
- NPI assigned
- Jun 25, 2009
- 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 | MR-1057 | ID | |
| Hospitalist Physician | 208M00000X | MR-1057 | ID | Primary |
Addresses
Primary practice location
1055 N Curtis Road
Boise, ID 83706
Mailing address
3340 E Goldstone Way
Meridian, ID 83642-1026
Phone (208) 367-5171
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
- Hospitalist
- Education
- George Washington University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Hospital Dr
Ketchum, ID 83340
100 Hospital Dr
Ketchum, ID 83340-9998
191 5TH St W
Ketchum, ID 83340-9998
Phone (208) 725-2171
Hospital & facility affiliations
- St Luke'S Wood River Medical Center
- St Luke'S Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MR-1057 | ID | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic - Wood River LLC | Family Medicine | Current | Accepting new patients |
| St Lukes Regional Medical Center | Past | Accepting new patients | |
| Granger Medical Clinic PC | Family Medicine | Past | Accepting new patients |
Locations
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Ketchum, ID
- NPI 1972891604
Family Medicine
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
- Multi-Specialty Clinic/Center
- West Valley City, UT
- NPI 1184657041
Family Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
- Critical Access Hospital
- Ketchum, ID
- NPI 1508869470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557273600000",
"number": "1457589640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 E GOLDSTONE WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421026",
"telephone_number": "208-367-5171",
"fax_number": "208-322-7018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 N CURTIS ROAD",
"city": "BOISE",
"state": "ID",
"postal_code": "83706",
"telephone_number": "208-367-2121",
"fax_number": "208-322-7018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "KATHRYN",
"middle_name": "ROSE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-25",
"last_updated": "2019-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "MR-1057",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "ID",
"license": "MR-1057",
"primary": true
}
],
"identifiers": [],
"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 May 8, 2019; 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.