Kboll Healthcare

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

KBOLL HEALTHCARE

Practice address

2305 Coronado St
Idaho Falls, ID 83404-7407

Phone

(208) 535-9009

NPI assigned

Aug 1, 2018

Organization subpart

No

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

Authorized official

Name

Kara Boll, NP-C

Title

Owner

Phone

(208) 535-9009

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1881172963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2426",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834032426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 CORONADO ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047407",
            "telephone_number": "208-535-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBOLL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "BOLL",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-535-9009",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristie Glen Karroum, FNP-C
• Jourdan Alexandria Katz, DO
• Scott Kawakami, OD
• Tauni Kaye, FNP-C
• Kayne Kishiyama MD PA
• Amanda Catherine Kearns, PHD
• Aaron Robert Kearsley, DPT
• Erin Kearsley, APRN-CNM
• Kayla Dawn Kearsley, COTA/L
• Amber Keck, APRN - CNP

• Family Nurse Practitioner in Idaho Falls, ID
• Providers in Idaho Falls, 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 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.