Sami Phuyal, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

59368 Issued in ID

Practice address

6737 E Deer Ridge St
Boise, ID 83716-7147

Phone

(979) 332-4184

NPI assigned

Aug 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mental Health Clinic of Idaho PLLC

  • Psychiatry Physician
  • Boise, ID
  • NPI 1215622048

  Single Specialty

  Medicare reassignment NPD Authorized official
• Physical Therapy 180 LLC

  dba Physical Therapy 180

  • Physical Therapist
  • Boise, ID
  • NPI 1669696910

  Single Specialty

  NPD
• All Seasons Mental Health

  • Physician Assistant
  • Boise, ID
  • NPI 1730333030

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1760157598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6737 E DEER RIDGE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837167147",
            "telephone_number": "979-332-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6737 E DEER RIDGE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837167147",
            "telephone_number": "979-332-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHUYAL",
        "first_name": "SAMI",
        "name_prefix": "Mrs.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "59368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shariah Michelle Phillips
• Tiegan Ann Phillips, LMSW
• Tiffany R Phillips, LMT
• Timothy John Phillips, M.D.
• Christopher L Phoenix
• Phyllis McKinley Viviani, LLC
• Physical Therapy 180 LLC (Physical Therapy 180)
• Physical Therapy at Thrive, LLC (Thrive Physical Therapy and Pilates)
• Physical Therapy Centers of Idaho
• Physicians Clinic PLLC (McMillan Medical Center)

• Family Nurse Practitioner in Boise, ID
• Providers in Boise, 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 Aug 13, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.