Active NPI
Christine M Paynter, PA C
- Physician Assistant
- Boise, ID
National Provider Identifier
1487697827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 058
- Practice address
- 425 W Bannock St
Boise, ID 83702-6035 - Phone
- (208) 343-6458
- NPI assigned
- Jun 14, 2006
- Last updated
- Feb 3, 2016
- 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 | PA10004766 | WA | |
| Physician Assistant | 363A00000X | 506 | MT | |
| Physician Assistant | 363A00000X | 058 | ID | Primary |
Addresses
Primary practice location
425 W Bannock St
Boise, ID 83702-6035
Mailing address
425 W Bannock St
Boise, ID 83702-6035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 058 | ID | MD | Physician Assistant |
| 506 | MT | MD | Physician Assistant |
| PA10004766 | WA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454457600000",
"number": "1487697827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837026035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 W BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837026035",
"telephone_number": "208-343-6458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNTER",
"first_name": "CHRISTINE",
"middle_name": "M",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2016-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10004766",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MT",
"license": "506",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "058",
"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 Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.