Ashley Marie Baker

Key facts

NPI

1831879774

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

53447 (ID)

Practice address

190 E Bannock St
Boise, ID 83712-6241

Phone

(208) 381-2267

Fax

(208) 336-8248

NPI assigned

Jul 24, 2023

Sex

Female

Sole proprietor

No

Organizations & group practices 3

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.

• St Lukes Clinic-Treasure Valley LLC Family Medicine Physician · Boise, ID · NPI 1326336058
  Medicare reassignment NPD ID · OBSTETRICS & GYNECOLOGY
• Glen S Lovelace MD PA Specialist · Boise, ID · NPI 1023053204
  NPD (past) OBSTETRICS & GYNECOLOGY
• St Lukes Regional Medical Center General Acute Care Hospital · Boise, ID · NPI 1770586794
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other names

• Ashley Marie Frostrom Other name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 5, 2024.

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1831879774",
    "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",
            "telephone_number": "208-381-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "telephone_number": "208-381-2267",
            "fax_number": "208-336-8248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Fort St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837024501",
            "country_code": "US",
            "telephone_number": "208-422-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "53447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "FROSTROM",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boise, ID

• Anna Louise Baird, LPC, NCC
• David M Baird, LCSW
• Emily Baird, LCSW
• William Baisden, RN
• Andrew Kenneth Baker, PHARMD
• Bridgette Marie Baker, MD
• Cheryl A Baker, LCPC
• Domini Baker, RN, LMSW
• Forrest James Baker, RN
• Gail E Baker, LCSW

All providers in Boise, ID · Family Nurse Practitioner in Idaho