Kuna Family Medical Clinic, P. a.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP193A Issued in ID

Legal business name

KUNA FAMILY MEDICAL CLINIC, P. A.

Practice address

708 E Wythe Creek CT Ste 103
Kuna, ID 83634-5005

Phone

(208) 922-5130

Fax

(208) 922-5132

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Myrna C. Fisher, ARNPNPI 1306839741

Title

Owner

Phone

(208) 922-5130

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Myrna Clare Fisher, APPN

  • Family Nurse Practitioner
  • Boise, ID
  • NPI 1306839741
  NPD (past) Authorized official
• Annie Johnson, PA-C

  • Medical Physician Assistant
  • Kuna, ID
  • NPI 1003067984
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1740326990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836340068",
            "telephone_number": "208-922-5130",
            "fax_number": "208-922-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 E WYTHE CREEK CT STE 103",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836345005",
            "telephone_number": "208-922-5130",
            "fax_number": "208-922-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUNA FAMILY MEDICAL CLINIC, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-922-5130",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP193A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804073900",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kidspeak LLC
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• Kuna Counseling Center
• Kuna Dental Family Cosmetic & Children'S Dentistry
• Kuna Dental PC
• Kuna Fire Department
• Kuna Healthcare Clinic, PLLC
• Kuna Joint School District No.3
• Kuna Kids Dentistry PC
• Kuna Minor Emergency LLC

• Family Nurse Practitioner in Kuna, ID
• Providers in Kuna, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.