Active NPI
Tonya Jean Jenott, NP
- Nurse Practitioner
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 64546
- Practice address
- 420 W Main St Ste 206
Boise, ID 83702-7363 - Phone
- (208) 426-9200
- Fax
- (208) 426-9300
- NPI assigned
- Apr 17, 2020
- Last updated
- Apr 17, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 64546 | ID | Primary |
Addresses
Primary practice location
420 W Main St Ste 206
Boise, ID 83702-7363
Mailing address
11434 W Montana St
Boise, ID 83713-1130
Phone (208) 724-4006
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
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-9384
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64546 | ID | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic-Treasure Valley LLC | Internal Medicine | Current | Accepting new patients |
| Meridian Advanced Psychiatry , LLC | Current | Accepting new patients | |
| Medical Directors of Idaho PLLC | Internal Medicine | Current | Accepting new patients |
| Elevate Health Group PLLC | Current | Accepting new patients | |
| Bella Family Healthcare & Aesthetics | Past | Accepting new patients | |
| St Lukes Regional Medical Center | Past | Accepting new patients |
Locations
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
420 W Main St
Ste 206
Boise, ID 83702
Phone (208) 343-2770
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
909 E Reserve St
Boise, ID 83712
Phone (208) 343-7717
1672 S Woodsage Ave
Ste 120
Meridian, ID 83642
Phone (208) 515-2273
3525 E Louise Dr
Ste 195
Meridian, ID 83642
3525 E Louise Dr
Ste 255
Meridian, ID 83642
Phone (208) 489-5099
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Boise, ID
- NPI 1326336058
Internal Medicine
-
- Internal Medicine Physician
- Nampa, ID
- NPI 1710392410
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Meridan, ID
- NPI 1609412683
-
dba Keystone Physical Medicine
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Boise, ID
- NPI 1770963274
-
- Primary Care Clinic/Center
- Meridian, ID
- NPI 1275186835
-
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": "1587081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587081600000",
"number": "1467072660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11434 W MONTANA ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837131130",
"telephone_number": "208-724-4006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 W MAIN ST STE 206",
"city": "BOISE",
"state": "ID",
"postal_code": "837027363",
"telephone_number": "208-426-9200",
"fax_number": "208-426-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENOTT",
"first_name": "TONYA",
"middle_name": "JEAN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-17",
"last_updated": "2020-04-17",
"certification_date": "2020-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "64546",
"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 Apr 17, 2020; 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.