Individual provider Active NPI

Yvonne Rose Fedewa Aicher, D.C.

  • Chiropractor
  • Boise, ID
National Provider Identifier
1689955809
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1466 Issued in ID
Practice address
13125 W Persimmon LN
Suite 100
Boise, ID 83713
Phone
(208) 991-0352
NPI assigned
Sep 1, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Young Incorporated 6 clinicians

Practice addresses (Care Compare)

2404 S Orchard St
Suite 800
Boise, ID 83705-6725
Phone (208) 345-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20121031000611 ID Practitioner - Chiropractic 7012166077 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A. Young Incorporated Chiropractor CurrentSince Aug 25, 2021 Accepting new patients
Alves Family Chiropractic Chiropractor PastSince Feb 14, 2010 Accepting new patients
Essential Life Boise, LLC Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA-1466 ID Primary

Addresses

NPPES NPI Registry

Primary practice location

13125 W Persimmon LN
Suite 100
Boise, ID 83713

Mailing address

13125 W Persimmon LN
Suite 100
Boise, ID 83713
Phone (208) 991-0352

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 20, 2015.

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1689955809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13125 W PERSIMMON LN",
            "address_2": "SUITE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83713",
            "telephone_number": "208-991-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13125 W PERSIMMON LN",
            "address_2": "SUITE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83713",
            "telephone_number": "208-991-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDEWA AICHER",
        "first_name": "YVONNE",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1466",
            "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 Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.