Active NPI
Emme K Phillips
- Behavior Technician
- Boise, ID
National Provider Identifier
1902793417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4325 Nystrom Way
Boise, ID 83713-2531 - Phone
- (208) 514-9845
- NPI assigned
- Jun 18, 2025
- Last updated
- Jun 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | ID | Primary |
Addresses
Primary practice location
4325 Nystrom Way
Boise, ID 83713-2531
Mailing address
4325 Nystrom Way
Boise, ID 83713
Phone (208) 514-9845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1902793417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4325 NYSTROM WAY",
"city": "BOISE",
"state": "ID",
"postal_code": "83713",
"telephone_number": "208-514-9845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4325 NYSTROM WAY",
"city": "BOISE",
"state": "ID",
"postal_code": "837132531",
"telephone_number": "208-514-9845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "EMME",
"middle_name": "K",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-18",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "ID",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.