Jonathan Amissa

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

1573 S Riverstone LN Apt 303
Boise, ID 83706-6542

Phone

(208) 805-9839

NPI assigned

Nov 9, 2019

Sex

Male

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

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

{
    "created_epoch": "1573257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573257600000",
    "number": "1639714025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 S RIVERSTONE LN APT 303",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066542",
            "telephone_number": "208-805-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1573 S RIVERSTONE LN APT 303",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066542",
            "telephone_number": "208-805-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMISSA",
        "first_name": "JONATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-09",
        "last_updated": "2019-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Drug Stores LLC
• American Partners LP
• Patrick Ames
• Madison Amezquita
• Nicole L. Amideo, PA-C
• L Stephen Ammann, LMSW
• Melanie Christina Amoruso, DPT
• Amplified Speech and Language LLC
• Amplify Group LLC
• Amy Absalonson Play Therapy and Counseling

• All providers in Boise, ID
• Non-emergency Medical Transport (VAN) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2019; 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.