Individual provider Active NPI

Heather Marie Frazee Whitson, PA-C

  • Physician Assistant
  • Boise, ID
National Provider Identifier
1881991057
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-890 Issued in ID
Practice address
222 N 2ND St
Suite 204
Boise, ID 83702-6109
Phone
(208) 429-9100
Fax
(208) 429-9118
NPI assigned
Feb 23, 2011
Last updated
Feb 23, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-890 ID Primary

Addresses

Primary practice location

222 N 2ND St
Suite 204
Boise, ID 83702-6109

Mailing address

222 N 2ND St
Suite 204
Boise, ID 83702-6109
Phone (208) 429-9100

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
I20110531000148 ID Practitioner - Physician Assistant 7113104100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steele Memorial Medical CenterGroup PAC ID 9436131265, 25 clinicians

Practice addresses (Care Compare)

203 S Daisy St
Salmon, ID 83467-4709
Phone (208) 756-5600

PO Box
Suite 700
Salmon, ID 83467

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-890IDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Steele Memorial Medical Center CurrentSince Jun 4, 2018 Accepting new patients
Steele Memorial Medical Center Past Accepting new patients

Locations

203 S Daisy St
Salmon, ID 83467
Phone (208) 756-4291

805 Main St
Salmon, ID 83467
Phone (208) 282-3495

Interoperability endpoints

  • Direct secure messaging: hfrazeewhitson425402@wm.providencedirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298419200000",
    "number": "1881991057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N 2ND ST",
            "address_2": "SUITE 204",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026109",
            "telephone_number": "208-429-9100",
            "fax_number": "208-429-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N 2ND ST",
            "address_2": "SUITE 204",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026109",
            "telephone_number": "208-429-9100",
            "fax_number": "208-429-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZEE WHITSON",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.