Active NPI
Brianda Lizeth Espinoza, LPN
- Licensed Vocational Nurse
- Boise, ID
National Provider Identifier
1730912833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 65010
- Practice address
- 1974 N Yonkers Ave
Boise, ID 83704-6410 - Phone
- (805) 509-1812
- NPI assigned
- Aug 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 65010 | ID | Primary |
Addresses
Primary practice location
1974 N Yonkers Ave
Boise, ID 83704-6410
Mailing address
1974 N Yonkers Ave
Boise, ID 83704-6410
Phone (805) 509-1812
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 |
|---|---|---|---|
| 65010 | ID | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1730912833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1974 N YONKERS AVE",
"city": "BOISE",
"state": "ID",
"postal_code": "837046410",
"telephone_number": "805-509-1812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1974 N YONKERS AVE",
"city": "BOISE",
"state": "ID",
"postal_code": "837046410",
"telephone_number": "805-509-1812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPINOZA",
"first_name": "BRIANDA",
"middle_name": "LIZETH",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-23",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "ID",
"license": "65010",
"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 Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.