Individual provider Active NPI

Shawna L Kuehne, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Boise, ID
National Provider Identifier
1679898225
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP-962A Issued in ID
Practice address
1902 Judith LN Ste 110
Boise, ID 83705-5235
Phone
(208) 658-0800
Fax
(208) 323-1894
NPI assigned
Apr 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP-962A ID Primary

Addresses

Primary practice location

1902 Judith LN Ste 110
Boise, ID 83705-5235

Mailing address

1902 Judith LN Ste 110
Boise, ID 83705-5235
Phone (208) 658-0800

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
I20100611000724 ID Practitioner - Nurse Practitioner 3375673627 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1276 W River St
Boise, ID 83702-7083
Phone (208) 338-4699

3307 Caldwell Blvd
Suite 104
Nampa, ID 83651-6403
Phone (208) 465-4833

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dwyer & Harrington, PLLC CurrentSince Aug 25, 2019 Accepting new patients
Access Behavioral Health Services, Inc CurrentSince Jun 1, 2014 Accepting new patients
Access Behavioral Health Services Current Accepting new patients
Access Behavioral Health Services CurrentSince Jun 1, 2014 Accepting new patients
Stephen T. Bushi, M.D. PastSince Dec 6, 2004 Accepting new patients

Locations

1276 W River St
Ste 100
Boise, ID 83702
Phone (208) 338-4699

5985 W State St
Boise, ID 83703
Phone (208) 853-0071

3307 Caldwell Blvd
Ste 104
Nampa, ID 83651
Phone (208) 465-4833

Organizations & group practices 5

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": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270512000000",
    "number": "1679898225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 JUDITH LN STE 110",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837055235",
            "telephone_number": "208-658-0800",
            "fax_number": "208-323-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 JUDITH LN STE 110",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837055235",
            "telephone_number": "208-658-0800",
            "fax_number": "208-323-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUEHNE",
        "first_name": "SHAWNA",
        "middle_name": "L",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "NP-962A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.