Individual provider Active NPI

Joshua L Coleman, CRNA

  • Certified Registered Nurse Anesthetist
  • Eagle, ID
National Provider Identifier
1982841573
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA741 Issued in ID
Practice address
100 Cottonwood CT # D150
Eagle, ID 83616-6576
Phone
(208) 917-2713
Fax
(208) 955-2029
NPI assigned
Jan 19, 2009
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 81381 ID
Certified Registered Nurse Anesthetist 367500000X RNA741 ID Primary

Addresses

Primary practice location

100 Cottonwood CT # D150
Eagle, ID 83616-6576

Mailing address

100 Cottonwood CT # D150
Eagle, ID 83616-6576
Phone (208) 917-2713

Other practice location 1

3085 E Magic View Dr Ste 140
Meridian, ID 83642-3757
Phone (208) 433-9300

Other practice location 2

111 W State St
Boise, ID 83702-6127
Phone (208) 336-0895

Other practice location 3

1209 N Summerbrook Ave Ste 100
Meridian, ID 83642
Phone (208) 907-0525

Other identifiers 1

IdentifierTypeStateIssuer
1982841573MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090219000331 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163587486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tree City Anesthesia Associates PLLCGroup PAC ID 9133364086, 3 clinicians

Practice addresses (Care Compare)

100 Cottonwood CT
Suite D150
Eagle, ID 83616-6545
Phone (208) 917-2713

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81381IDMDInterventional Pain Medicine Physician
RNA741IDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Boise, P.a. CurrentSince Jan 13, 2009 Accepting new patients
Tree City Anesthesia Associates PLLC Interventional Pain Medicine CurrentSince Feb 1, 2013 Accepting new patients
Interventional Pain Associates P.L.L.C. Nurse Anesthetist, Certified Registered PastSince Feb 1, 2013 Accepting new patients
Overton-Stiff Professional Anesthesia Service LTD Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2537 W State St
Ste 200
Boise, ID 83702
Phone (208) 336-0895

338 E Bannock St
Boise, ID 83712
Phone (208) 336-0895

100 Cottonwood Ct
#D150
Eagle, ID 83616
Phone (208) 917-2713

100 Cottonwood Ct
Ste D150
Eagle, ID 83616
Phone (208) 917-2713

1000 State St
McCall, ID 83638
Phone (208) 634-2221

1209 N Summerbrook Ave
Ste 100
Meridian, ID 83642
Phone (208) 296-6586

3085 E Magic View Dr
Ste 140
Meridian, ID 83642
Phone (208) 229-9009

3327 N Eagle Rd
Ste 110
Meridian, ID 83646

Interoperability endpoints

  • Direct secure messaging: joshua.coleman.1@27790.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1982841573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COTTONWOOD CT # D150",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166576",
            "telephone_number": "208-917-2713",
            "fax_number": "208-955-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COTTONWOOD CT # D150",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166576",
            "telephone_number": "208-917-2713",
            "fax_number": "208-955-2029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3085 E Magic View Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836423757",
            "country_code": "US",
            "telephone_number": "208-433-9300",
            "fax_number": "208-433-9854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 W State St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837026127",
            "country_code": "US",
            "telephone_number": "208-336-0895",
            "fax_number": "208-338-1796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1209 N Summerbrook Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "83642",
            "country_code": "US",
            "telephone_number": "208-907-0525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JOSHUA",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-19",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "ID",
            "license": "81381",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "RNA741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982841573",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.