Active NPI
Fors Functional Medicine
- Women's Health Nurse Practitioner
- Boise, ID
National Provider Identifier
1962267575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- Legal business name
- FORS FUNCTIONAL MEDICINE
- Practice address
- 7008 E Sky Bar St
Boise, ID 83716-8830 - Phone
- (208) 805-0705
- NPI assigned
- Feb 14, 2024
- Organization subpart
- Yes
- Parent organization
- FORS HEALTH COACHING
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gretta Snyder Fors, NP
- Title
- Owner/Nurse Practitioner
- Phone
- (208) 805-0705
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | Primary |
Addresses
Primary practice location
7008 E Sky Bar St
Boise, ID 83716-8830
Mailing address
7008 E Sky Bar St
Boise, ID 83716-8830
Phone (208) 805-0705
Other names 1
- Fors Health Coaching
National Provider Directory
National Provider Directory- Part of
- Fors Functional Medicine
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Provo, UT
- NPI 1649394743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707868800000",
"number": "1962267575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7008 E SKY BAR ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837168830",
"telephone_number": "208-805-0705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7008 E SKY BAR ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837168830",
"telephone_number": "208-805-0705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORS FUNCTIONAL MEDICINE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FORS HEALTH COACHING",
"enumeration_date": "2024-02-14",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A",
"authorized_official_last_name": "FORS",
"authorized_official_first_name": "GRETTA",
"authorized_official_middle_name": "SNYDER",
"authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
"authorized_official_telephone_number": "208-805-0705",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fors Health Coaching",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Fors Health Coaching",
"code": "4",
"type": "Former Legal Business Name"
}
]
}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 Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.