Boise Image Enhancement Centre, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

M4612 Issued in ID

Legal business name

BOISE IMAGE ENHANCEMENT CENTRE, INC.

Practice address

9382 W Overland Rd
Boise, ID 83709-2505

Phone

(208) 375-1221

NPI assigned

Feb 3, 2012

Organization subpart

No

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

Authorized official

Name

Connie Schnebly

Title

Ceo

Phone

(208) 375-1221

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Morgann Eason, DNP, FNP-C, FNP-BC

  • Family Nurse Practitioner
  • Boise, ID
  • NPI 1265911242
  NPD (past)

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1487926564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9382 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837092505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9382 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837092505",
            "telephone_number": "208-375-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOISE IMAGE ENHANCEMENT CENTRE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "SCHNEBLY",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-375-1221"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "ID",
            "license": "M4612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boise Group Homes, Inc.
• Boise Group Homes, Inc.
• Boise Health Haus, LLC
• Boise Holistic Therapy
• Boise Home Care Inc. Comfort Keepers
• Boise Ketamine Clinic
• Boise Laser and Cosmetic Surgery Center PC
• Boise Minor Emergency Center PA
• Boise Mountain Eye Associates, PLLC
• Boise Music Therapy Company

• All providers in Boise, ID
• General Practice Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.