Georgette Bisoka

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

15353 Hogback Way
Caldwell, ID 83607-5786

Phone

(208) 794-6652

NPI assigned

Dec 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Geoalpha Health Solutions LLC

  • Community/Behavioral Health Agency
  • Caldwell, ID
  • NPI 1568253094
  NPD Authorized official

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1548929706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15353 HOGBACK WAY",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836075786",
            "telephone_number": "208-794-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15353 HOGBACK WAY",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836075786",
            "telephone_number": "208-794-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISOKA",
        "first_name": "GEORGETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beyoutify the Mind Counseling PLLC
• Dean Bigelow, PMHNP
• Jessica A Billings, LMSW
• John K Bishop, LPC LICENSED PROFESS
• Bora Bisimwa
• J'Cinda J'Nae Bitters, MD
• Amy Jo Bizik, PMHNP
• William Thomas Black, OD
• Blaisdell Dental Center, PA
• John David Blaisdell, D.D.S.

• Behavior Technician in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Behavior Technician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.