Individual provider Active NPI

Joniruth Digaum, ARNP

  • Family Nurse Practitioner
  • Boise, ID
National Provider Identifier
1881017382
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53812 Issued in ID
Practice address
8040 S Red Cliff Ave
Boise, ID 83716-3466
Phone
(407) 865-0101
NPI assigned
Feb 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9285241 FL
Family Nurse Practitioner 363LF0000X 53812 ID Primary

Addresses

Primary practice location

8040 S Red Cliff Ave
Boise, ID 83716-3466

Mailing address

8040 S Red Cliff Ave
Boise, ID 83716-3466
Phone (407) 865-0101

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
I20161004002291 ID Practitioner - Nurse Practitioner 1951618107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Behavioral Health ServicesGroup PAC ID 5991860413, 32 clinicians

Practice addresses (Care Compare)

1276 W River St
Boise, ID 83702-7083
Phone (208) 338-4699

3307 Caldwell Blvd
Suite 104
Nampa, ID 83651-6403
Phone (208) 465-4833

Hospital & facility affiliations

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53812IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Behavioral Health Services, Inc CurrentSince Mar 16, 2022 Accepting new patients
Transformed Mind and Body LLC Family CurrentSince Oct 6, 2024 Accepting new patients
Access Behavioral Health Services Current Accepting new patients

Locations

1276 W River St
Ste 100
Boise, ID 83702
Phone (208) 338-4699

3307 Caldwell Blvd
Ste 104
Nampa, ID 83651
Phone (208) 465-4833

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.

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": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1881017382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 S RED CLIFF AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837163466",
            "telephone_number": "407-865-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 S RED CLIFF AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837163466",
            "telephone_number": "407-865-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGAUM",
        "first_name": "JONIRUTH",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-04",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9285241",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "53812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.