Active NPI
Isabel Burns Bruce, BSN-RN
- Registered Nurse
- Boise, ID
National Provider Identifier
1699307124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- N-42986
- Practice address
- 777 N Raymond Street
Boise, ID 83704 - Phone
- (208) 514-2500
- NPI assigned
- Feb 12, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60743305 | WA | |
| Registered Nurse | 163W00000X | 201509013RN | OR | |
| Registered Nurse | 163W00000X | N-42986 | ID | Primary |
Addresses
Primary practice location
777 N Raymond Street
Boise, ID 83704
Mailing address
4004 N Collister Drive
Boise, ID 83703
Phone (208) 830-1128
Other names 1
- Isabel Burns Miller
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N-42986 | ID | MD | Registered Nurse |
| 201509013RN | OR | MD | Registered Nurse |
| RN60743305 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1699307124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4004 N COLLISTER DRIVE",
"city": "BOISE",
"state": "ID",
"postal_code": "83703",
"telephone_number": "208-830-1128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 N RAYMOND STREET",
"city": "BOISE",
"state": "ID",
"postal_code": "83704",
"telephone_number": "208-514-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "ISABEL",
"middle_name": "BURNS",
"credential": "BSN-RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-12",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60743305",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "201509013RN",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ID",
"license": "N-42986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ISABEL",
"last_name": "MILLER",
"middle_name": "BURNS",
"code": "1",
"type": "Former Name"
}
]
}
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 Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.