Individual provider Active NPI

Adrienne Olney

  • Physical Medicine & Rehabilitation Physician
  • Boise, ID
National Provider Identifier
1740851278
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
P17957 Issued in NC
Practice address
703 S Americana Blvd Ste 130
Boise, ID 83702-6754
Phone
(208) 706-7530
NPI assigned
Jul 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X P17957 NC Primary

Addresses

Primary practice location

703 S Americana Blvd Ste 130
Boise, ID 83702-6754

Mailing address

247 N Whitewater Park Blvd Apt I304
Boise, ID 83702-5611

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://www1.stlukesonline.org/communities-and-locations/facilities/clinics/st-lukes-rehabilitation-b

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

LicenseStateTypeSpecialty
P17957NCMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1740851278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 N WHITEWATER PARK BLVD APT I304",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 S AMERICANA BLVD STE 130",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026754",
            "telephone_number": "208-706-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLNEY",
        "first_name": "ADRIENNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "P17957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www1.stlukesonline.org/communities-and-locations/facilities/clinics/st-lukes-rehabilitation-b",
            "affiliation": "N",
            "address_1": "703 S Americana Blvd Ste 130",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837026754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 6, 2021; 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.