Nicholas Eugene Garver, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-1364 Issued in ID

Practice address

300 S 23Rd St
Boise, ID 83702-9100

Phone

(208) 344-3512

Fax

(208) 344-4898

NPI assigned

Sep 26, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ngarver337682@direct.ochin.org

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.

• Community Health Clinics, Inc.

  • Federally Qualified Health Center (FQHC)
  • Nampa, ID
  • NPI 1457309122
  Medicare reassignment
• Community Health Clinics, Inc.

  • Federally Qualified Health Center (FQHC)
  • Nampa, ID
  • NPI 1134527708

  Physician Assistant

  NPD
• Community Health Clinics, Inc.

  • Federally Qualified Health Center (FQHC)
  • Boise, ID
  • NPI 1346254026
  NPD
• Functional Medicine of Idaho PC

  • Family Medicine Physician
  • Boise, ID
  • NPI 1336656040
  NPD (past)

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1467703728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 23RD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837029100",
            "telephone_number": "970-319-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 23RD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837029100",
            "telephone_number": "208-344-3512",
            "fax_number": "208-344-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARVER",
        "first_name": "NICHOLAS",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-26",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-1364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA-1364",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Anne Garringer, CSFA
• Elisha L. Garrison, LMSW
• Elizabeth H Garrison, OTR/L
• Erin A Garrison, M.A., LPC
• Sandra Dawn Scantling Garro, PT
• Rachel Garver, PA-C
• Nicole A Garvin, LCSW
• Gary W Lee LCSW LLC
• Thomas Christopher Garzone
• Shukuru Gasana

• Physician Assistant in Boise, ID
• Providers in Boise, ID by specialty
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.