Kristi L Wayment, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA-325 Issued in ID

Practice address

916 E. Wright St.
Boise, ID 83706

Phone

(208) 631-5257

Fax

(208) 433-1738

NPI assigned

Mar 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1649396177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3527 S. FEDERAL WAY",
            "address_2": "STE. 103, #341",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83705",
            "telephone_number": "208-631-5257",
            "fax_number": "208-433-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 E. WRIGHT ST.",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83706",
            "telephone_number": "208-631-5257",
            "fax_number": "208-433-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYMENT",
        "first_name": "KRISTI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA325",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "ID",
            "license": "PA-325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806326700",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosana Z Watts, RN
• Stephanie Lynn Watts, CADC
• Marcey Louise Waugh, LPN
• Jordan Waverek, M.S. CCC-SLP
• Dylan Anthony Wayman, LMT, CPT, NMT
• Wayne Counseling, LLC
• Wayne Mortensen DMD PC
• Wayne R. Peterson, DMD, PC
• Danielle Wayne, LCSW, LISW
• Coire Weathers, MD

• Surgical Physician Assistant in Boise, ID
• Providers in Boise, ID by specialty
• Surgical Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.