Individual provider Active NPI

Julia Anne Sanford Biggerstaff, M.S., PH.D.

  • Clinical Medical Laboratory
  • Boise, ID
National Provider Identifier
1629486311
Registry record updated Jul 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Practice address
4355 W Emerald St
Suite 140
Boise, ID 83706-2050
Phone
(509) 993-9311
NPI assigned
Jul 26, 2014
Last updated
Jul 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

4355 W Emerald St
Suite 140
Boise, ID 83706-2050

Mailing address

2315 W 1St Ave
Spokane, WA 99201-5805
Phone (509) 993-9311

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)
Not enrolled
Credentials
Master of Science, Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1406332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406332800000",
    "number": "1629486311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 W 1ST AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992015805",
            "telephone_number": "509-993-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 W EMERALD ST",
            "address_2": "SUITE 140",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062050",
            "telephone_number": "509-993-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD BIGGERSTAFF",
        "first_name": "JULIA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.S., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-26",
        "last_updated": "2014-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "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 Jul 26, 2014; 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.