East to West Family Medicine

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP1522A Issued in ID

Legal business name

EAST TO WEST FAMILY MEDICINE

Practice address

2051A E Summersweet Dr
Boise, ID 83716

Phone

(208) 908-1041

NPI assigned

Apr 9, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen Lewis

Title

Manager

Phone

(208) 955-8215

Specialties & licenses 7

Addresses

Other identifiers 1

Other names 1

• East to West Medicine Other name

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leanna Moser, FNP

  • Family Nurse Practitioner
  • Boise, ID
  • NPI 1265834311
  Medicare reassignment
• Erin R Bohn, NP

  • Family Nurse Practitioner
  • Boise, ID
  • NPI 1063983153
  NPD (past)
• Kelly Kandes-Myers, FNP-C

  • Family Nurse Practitioner
  • Meridian, ID
  • NPI 1922959402
  NPD (past)
• Leslie McBride

  • Family Nurse Practitioner
  • Meridian, ID
  • NPI 1174431613
  NPD (past)
• Sheridan Islay Jones, FNP

  • Family Nurse Practitioner
  • Dubuque, IA
  • NPI 1851066161
  NPD (past)

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1801393616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051A E SUMMERSWEET DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837166695",
            "telephone_number": "208-395-1090",
            "fax_number": "208-395-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051A E SUMMERSWEET DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83716",
            "telephone_number": "208-908-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TO WEST FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-955-8215"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "37185",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "ID",
            "license": "NP1522A",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ID",
            "license": "NP1522A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP1522A",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "ID",
            "license": "NP1522A",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ID",
            "license": "NP1522A",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "ID",
            "license": "NP1522A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265834311",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East to West Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Allison Rae Early, SLP
• Susan Leigh Earnst, LCPC
• Morgann Eason, DNP, FNP-C, FNP-BC
• East Boise County Medical Clinic
• East Boise Dental
• Karen East, MD
• Norman John East, MD
• Easter Seals-Goodwill Northern Rocky Mountain, Inc.
• Easterseals-Goodwill Northern Rocky Mountain, Inc.
• Easterseals-Goodwill Northern Rocky Mountain, Inc.

• 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 Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.