Individual provider Active NPI

Christa Marie Whalen, FNP-BC

  • Family Nurse Practitioner
  • Boise, ID
National Provider Identifier
1881434595
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
79487 Issued in ID
Practice address
2800 W Overland Rd
Boise, ID 83705-3038
Phone
(208) 810-8615
NPI assigned
May 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 79487 ID Primary

Addresses

Primary practice location

2800 W Overland Rd
Boise, ID 83705-3038

Mailing address

4570 S Denison Ave
Meridian, ID 83642-9224
Phone (724) 991-1758

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
I20251111000827 ID Practitioner - Nurse Practitioner 1052802741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dori Healey LLCGroup PAC ID 4183083637, 2 clinicians

Practice addresses (Care Compare)

8059 W Preece Dr
Suite 1106
Boise, ID 83704-9052
Phone (208) 550-3112

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79487IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dori Healey LLC CurrentSince Oct 1, 2025 Accepting new patients
Boise Ketamine Clinic CurrentSince Jun 2, 2024 Accepting new patients
Healing House PLLC CurrentSince Jun 2, 2024 Accepting new patients

Locations

8059 W Preece Dr
Boise, ID 83704
Phone (208) 550-3112

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 5

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": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1881434595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4570 S DENISON AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429224",
            "telephone_number": "724-991-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837053038",
            "telephone_number": "208-810-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "CHRISTA",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "79487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.