Individual provider Active NPI

Amanda D King, NP

  • Nurse Practitioner
  • Boise, ID
National Provider Identifier
1790053338
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP-1345A Issued in ID
Practice address
701 E Parkcenter Blvd
Boise, ID 83706-6528
Phone
(208) 381-6500
Fax
(208) 381-6505
NPI assigned
Dec 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP-1345A ID Primary

Addresses

Primary practice location

701 E Parkcenter Blvd
Boise, ID 83706-6528

Mailing address

190 E Bannock St
Boise, ID 83712-6241

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140108001361 ID Practitioner - Nurse Practitioner 1052549581 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Precision Medical Care LLCGroup PAC ID 2264831031, 6 clinicians
St Lukes Clinic-Treasure Valley LLCGroup PAC ID 4981878402, 1,155 clinicians

Practice addresses (Care Compare)

2775 Channing Way
Idaho Falls, ID 83404-7510
Phone (208) 918-2525

2840 S Meridian Rd
Meridian, ID 83642-7960
Phone (208) 918-2525

3155 Channing Way
Idaho Falls, ID 83404-7534
Phone (801) 699-6344

3820 Crestwood LN
Idaho Falls, ID 83404-4979
Phone (208) 918-2525

608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

701 E Parkcenter Blvd
Boise, ID 83706-6528
Phone (208) 381-6500

Hospital & facility affiliations

  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Family Practice Inc Family Medicine CurrentSince Jan 3, 2025 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Mar 1, 2020 Accepting new patients
Precision Medical Care LLC Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Mar 1, 2020 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Nurse Practitioner Current Accepting new patients
Associates in Family Practice Inc Family Medicine CurrentSince Jan 3, 2025 Accepting new patients
Perma Mental Health PLLC PastSince May 1, 2024 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients

Locations

777 N Raymond St
Boise, ID 83704
Phone (208) 367-6030

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

10583 W Lake Hazel Rd
Boise, ID 83709
Phone (208) 302-5900

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

910 NW 16th St
Ste 101
Fruitland, ID 83619
Phone (208) 452-8000

425 Idaho St
Gooding, ID 83330
Phone (208) 934-5900

640 Frogs Lndg
Hagerman, ID 83332
Phone (208) 731-6241

3155 Channing Way
Idaho Falls, ID 83404
Phone (801) 699-6344

3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

3025 W Cherry Ln
Meridian, ID 83642
Phone (208) 302-6400

2965 E Tarpon Dr
Ste 110
Meridian, ID 83642
Phone (208) 617-6455

410 N Idaho St
Wendell, ID 83355
Phone (208) 536-3995

1633 W Innovation Way
Fl 5
Lehi, UT 84043
Phone (801) 699-6344

Interoperability endpoints

  • Direct secure messaging: aking1564295@direct.trinity-health.org

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1323475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1790053338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E PARKCENTER BLVD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066528",
            "telephone_number": "208-381-6500",
            "fax_number": "208-381-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "AMANDA",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-10",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP-1345A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.