Stephanie Charlotte Duininck Segura, FNP-C, L.AC.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

61516 Issued in ID

Practice address

111 W Main St
Boise, ID 83702-7261

Phone

(208) 342-7400

Fax

(208) 342-1879

NPI assigned

Jun 23, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Catalyst Acupuncture & Integrative Medicine

  • Clinic/Center
  • Boise, ID
  • NPI 1548811441
  NPD (past)
• Center for Lifetime Health

  • Family Medicine Physician
  • Boise, ID
  • NPI 1689744963
  NPD (past)

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1891146510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 N HILLVIEW DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837128151",
            "telephone_number": "208-720-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W MAIN ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027261",
            "telephone_number": "208-342-7400",
            "fax_number": "208-342-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGURA",
        "first_name": "STEPHANIE",
        "middle_name": "CHARLOTTE DUININCK",
        "credential": "FNP-C, L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "61516",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ID",
            "license": "339",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dixie Hamp Seegmiller, LPC
• Seeking Serenity Therapy LLC
• Srikanth Seethala, M.D, MPH
• Megan B Seewald, PHARMD
• Nicolette Kristie Segura
• Jessica Gates Seick, NP
• Joseph Seiders, LCSW
• Charissa Seituah
• Blaze Sekovski, MD
• Select Concierge Corp.

• Family Medicine Physician in Boise, ID
• Providers in Boise, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.