Active NPI
Sabrina Dlouhy, PA-C
- Physician Assistant
- Meridian, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-1839
- Practice address
- 3399 E Louise Dr Ste 200
Meridian, ID 83642-5212 - Phone
- (208) 706-2663
- NPI assigned
- Sep 3, 2014
- Last updated
- Feb 8, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA169153 | OR | |
| Physician Assistant | 363A00000X | PG170101 | OR | |
| Physician Assistant | 363A00000X | PA-1839 | ID | Primary |
Addresses
Primary practice location
3399 E Louise Dr Ste 200
Meridian, ID 83642-5212
Mailing address
190 E Bannock St
Boise, ID 83712-6241
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54342 | CA | MD | Pharmacist |
| PA169153 | OR | MD | Physician Assistant |
| PG170101 | OR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic-Treasure Valley LLC | Current | Accepting new patients | |
| Direct Orthopedic Care LLC | Current | Accepting new patients | |
| Urgent Care Associates PLLC | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Physician Assistant | Current | Accepting new patients |
| Saint Alphonsus Regional Medical Center Inc | Physician Assistant | Current | Accepting new patients |
| St Lukes Regional Medical Center | Past | Accepting new patients | |
| Gustavel Orthopedics PLLC | Past | Accepting new patients |
Locations
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
7979 W Rifleman St
Ste 110
Boise, ID 83704
Phone (208) 321-4000
740 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 542-9111
3015 E Magic View Dr
Ste 130
Meridian, ID 83642
Phone (208) 482-5567
3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400
3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342
3399 E Louise Dr
Ste 200
Meridian, ID 83642
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CHDGBD
Organizations & group practices 9
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.
-
- Psychologist
- Boise, ID
- NPI 1649357716
Physician Assistant
-
- Orthopaedic Surgery Physician
- Boise, ID
- NPI 1356769434
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Boise, ID
- NPI 1306842182
-
- Urgent Care Clinic/Center
- Idaho Falls, ID
- NPI 1205300407
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Physician Assistant
-
- Family Medicine Physician
- Boise, ID
- NPI 1326336058
-
- Preferred Provider Organization
- Idaho Falls, ID
- NPI 1609046408
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Boise, ID
- NPI 1861961732
-
dba St Lukes Meridian Medical Center
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675814400000",
"number": "1457751802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3399 E LOUISE DR STE 200",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836425212",
"telephone_number": "208-706-2663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DLOUHY",
"first_name": "SABRINA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-03",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA169153",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PG170101",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA-1839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.