Active NPI
Ilse M. Herrera, NP, MSN
- Nurse Practitioner
- Boise, ID
National Provider Identifier
1992894042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- N27129
- Practice address
- 500 West Fort Street
Boise, ID 83702-4598 - Phone
- (208) 422-1325
- Fax
- (208) 422-1408
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | N27129 | ID | |
| Women's Health Nurse Practitioner | 363LW0102X | N27129 | ID | |
| Nurse Practitioner | 363L00000X | N27129 | ID | Primary |
Addresses
Primary practice location
500 West Fort Street
Boise, ID 83702-4598
Mailing address
500 W. Fort St.
# 111
Boise, ID 83702
Phone (208) 422-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N27129 | ID | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646092800000",
"number": "1992894042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W. FORT ST.",
"address_2": "# 111",
"city": "BOISE",
"state": "ID",
"postal_code": "83702",
"telephone_number": "208-422-1000",
"fax_number": "208-422-1319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 WEST FORT STREET",
"city": "BOISE",
"state": "ID",
"postal_code": "837024598",
"telephone_number": "208-422-1325",
"fax_number": "208-422-1408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "ILSE",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "NP, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "ID",
"license": "N27129",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "ID",
"license": "N27129",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "N27129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Mar 1, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.