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KIMERENG KIPCHUMBA KIPSUGE NP NPI 1205489978


NPI Information

NPI: 1205489978
Provider Name: KIMERENG KIPCHUMBA KIPSUGE, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: IDAHO NP CLINIC PLLC

PECOS Registration: Yes

Address:
1883 WILDWOOD ST STE C
BOISE, ID
ZIP 83713
Phone: (208) 901-7006
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Kimereng Kipchumba Kipsuge, NP is an acute care nurse practitioner in Boise, ID with 6 years of experience. Kimereng Kipchumba Kipsuge, NP NPI is 1205489978. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1883 WILDWOOD ST STE C
BOISE, ID
ZIP 83713-146
Phone: (208) 901-7006

The NPI 1205489978 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/22/2019 and was last updated on 6/30/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2100XNurse PractitionerAcute Care62135IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.