Active NPI
Ana Linda Laborde, AGNP-BC
- Adult Health Nurse Practitioner
- Eagle, ID
National Provider Identifier
1952883571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 59811
- Practice address
- 219 S Wooddale Ave
Eagle, ID 83616-7714 - Phone
- (208) 994-5575
- Fax
- (208) 994-5576
- NPI assigned
- Aug 30, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 730989 | TX | |
| Gerontology Nurse Practitioner | 363LG0600X | 730989 | TX | |
| Gerontology Nurse Practitioner | 363LG0600X | 59811 | ID | |
| Adult Health Nurse Practitioner | 363LA2200X | 59811 | ID | Primary |
Addresses
Primary practice location
219 S Wooddale Ave
Eagle, ID 83616-7714
Mailing address
PO Box 1278
Eagle, ID 83616-1278
Phone (089) 945-5752
Other names 1
- Ana Linda Vergel de Dios
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250528001330 | ID | Practitioner - Nurse Practitioner | 8224310826 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59811 | ID | MD | Gerontology Nurse Practitioner |
| 730989 | TX | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simply Womens Health LLC | Multi-Specialty | Current | Accepting new patients |
| C&a Healthcare PLLC | Multi-Specialty | Current | Accepting new patients |
Locations
219 S Wooddale Ave
Eagle, ID 83616
Phone (208) 994-5575
Organizations & group practices 2
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 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boise, ID
- NPI 1184155426
Hospital
-
- General Acute Care Hospital
- Boise, ID
- NPI 1457414948
Hospital
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
Hospital
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Hospital
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
219 S Wooddale Ave
Eagle, ID 83616-7714
Phone (208) 994-5575
Hospital & facility affiliations
- St Luke'S Regional Medical Center
- Saint Alphonsus Regional Medical Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1952883571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1278",
"city": "EAGLE",
"state": "ID",
"postal_code": "836161278",
"telephone_number": "089-945-5752",
"fax_number": "208-994-5576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 S WOODDALE AVE",
"city": "EAGLE",
"state": "ID",
"postal_code": "836167714",
"telephone_number": "208-994-5575",
"fax_number": "208-994-5576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABORDE",
"first_name": "ANA",
"middle_name": "LINDA",
"credential": "AGNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-30",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "730989",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "730989",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": "ID",
"license": "59811",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "ID",
"license": "59811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANA",
"last_name": "VERGEL DE DIOS",
"middle_name": "LINDA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Eagle, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.