Active NPI
Heidi Line, FNP
- Nurse Practitioner
- Caldwell, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2371354
- Practice address
- 315 E Elm St # 201
Caldwell, ID 83605-4857 - Phone
- (208) 514-2528
- Fax
- (208) 375-2217
- NPI assigned
- Aug 29, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 66314 | ID | |
| Nurse Practitioner | 363L00000X | 2371354 | ID | Primary |
Addresses
Primary practice location
315 E Elm St # 201
Caldwell, ID 83605-4857
Mailing address
777 N Raymond St
Boise, ID 83704-9251
Phone (208) 514-2500
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
315 E Elm St
Suite 201
Caldwell, ID 83605-4857
Phone (208) 514-2528
Hospital & facility affiliations
- West Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66314 | ID | MD | Registered Nurse |
| 2371354 | ID | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Circle Health, Inc. | Current | Accepting new patients | |
| St Lukes Regional Medical Center | Past | Accepting new patients |
Locations
6565 W Emerald St
Boise, ID 83704
Phone (208) 377-5055
325 W Idaho St
Boise, ID 83702
Phone (208) 514-2525
777 N Raymond St
Boise, ID 83704
Phone (208) 367-6030
315 E Elm St
#201
Caldwell, ID 83605
Phone (208) 514-2528
315 E Elm St
Ste 201
Caldwell, ID 83605
Phone (208) 514-2528
2275 S Eagle Rd
Ste 120
Meridian, ID 83642
Phone (208) 514-2520
Interoperability endpoints
- hline819716@direct.ochin.org
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Boise, ID
- NPI 1841490075
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Middleton, ID
- NPI 1609818483
-
- General Acute Care Hospital
- Caldwell, ID
- NPI 1891732905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1730809179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 N RAYMOND ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837049251",
"telephone_number": "208-514-2500",
"fax_number": "208-375-2217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 E ELM ST # 201",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836054857",
"telephone_number": "208-514-2528",
"fax_number": "208-375-2217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINE",
"first_name": "HEIDI",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-29",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ID",
"license": "66314",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "2371354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caldwell, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.