Active NPI
Complete Embodiment Wellness
- Family Nurse Practitioner
- Boise, ID
National Provider Identifier
1932811296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- COMPLETE EMBODIMENT WELLNESS
- Practice address
- 7683 W Emerald St
Boise, ID 83704-9018 - Phone
- (208) 376-2522
- NPI assigned
- Dec 19, 2022
- Last updated
- May 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Toni Bennett
- Title
- Credentialing Specialist
- Phone
- (208) 810-2319
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
7683 W Emerald St
Boise, ID 83704-9018
Mailing address
PO Box 44124
Boise, ID 83711-0124
Phone (208) 384-9022
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brittany.a@boiseosteopathic.com | Direct |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D2276240 | Complete Embodiment Wellness | Certificate of waiver | Feb 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
7683 W Emerald St
Boise, ID 83704
Phone (208) 376-2522
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Boise, ID
- NPI 1992111090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684195200000",
"number": "1932811296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 44124",
"city": "BOISE",
"state": "ID",
"postal_code": "837110124",
"telephone_number": "208-384-9022",
"fax_number": "208-947-3465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7683 W EMERALD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837049018",
"telephone_number": "208-376-2522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE EMBODIMENT WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-19",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "TONI",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "208-810-2319"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brittany.a@boiseosteopathic.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "7683 W Emerald St",
"city": "Boise",
"state": "ID",
"country_code": "US",
"postal_code": "837049018",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boise, ID
- Community Services LLC
- Compacity Counseling, LLC
- Companionship LLC
- Bryan Keith Comparato, D.C.
- Complete Care Audiology Inc. (Boise Speech and Hearing Clinic)
- Complete Prosthetics & Orthotics LLC
- Complete Therapy Solutions, PLLC
- Completeness Counseling
- Comprehensive Health Associates
- Comprehensive Health Associates PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.