Individual provider Active NPI

Savannah M Klinginsmith, FNP-BC

  • Family Medicine Physician
  • Boise, ID
National Provider Identifier
1669038220
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
CNP-61348 Issued in ID
Practice address
Central District Health
707 N Armstrong PL
Boise, ID 83704
Phone
(208) 327-7400
NPI assigned
May 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CNP-61348 ID Primary

Addresses

Primary practice location

Central District Health
707 N Armstrong PL
Boise, ID 83704

Mailing address

707 N Armstrong PL
Boise, ID 83704-0825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200701001679 ID Practitioner - Nurse Practitioner 1153752514 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP-61348IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health District IV Family Medicine CurrentSince Mar 1, 2020 Accepting new patients

Locations

707 N Armstrong Pl
Boise, ID 83704
Phone (208) 327-7400

520 E 8th N
Mountain Home, ID 83647
Phone (208) 587-4407

Interoperability endpoints

  • Direct secure messaging: savannah.klinginsmith.1@17981.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1669038220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N ARMSTRONG PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837040825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRAL DISTRICT HEALTH",
            "address_2": "707 N ARMSTRONG PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83704",
            "telephone_number": "208-327-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGINSMITH",
        "first_name": "SAVANNAH",
        "middle_name": "M",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-18",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "CNP-61348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.