Active NPI
Joshua L Coleman, CRNA
- Certified Registered Nurse Anesthetist
- Eagle, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RNA741
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982841573 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 81381 | ID | MD | Interventional Pain Medicine Physician |
| RNA741 | ID | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Boise, P.a. | Current | Accepting new patients | |
| Tree City Anesthesia Associates PLLC | Interventional Pain Medicine | Current | Accepting new patients |
| Interventional Pain Associates P.L.L.C. | Nurse Anesthetist, Certified Registered | Past | 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
- 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.
-
dba Interventional Pain Associates
- Certified Registered Nurse Anesthetist
- Eagle, ID
- NPI 1538407366
Interventional Pain Medicine
-
- Specialist
- Boise, ID
- NPI 1033147467
-
- Certified Registered Nurse Anesthetist
- Eagle, ID
- NPI 1235046731
-
- Certified Registered Nurse Anesthetist
- Eagle, ID
- NPI 1063322782
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Boise, ID
- NPI 1417065152
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Lukes Meridian Medical Center
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
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.