EAST TO WEST FAMILY MEDICINE NPI 1801393616

NPI Information

NPI: 1801393616
Provider Name: EAST TO WEST FAMILY MEDICINE

Other Name: EAST TO WEST MEDICINE

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
2051A E SUMMERSWEET DR
BOISE, ID
ZIP 83716
Phone: (208) 908-1041
Get Directions

EAST TO WEST FAMILY MEDICINE is a family nurse practitioner in Boise, ID. EAST TO WEST FAMILY MEDICINE NPI is 1801393616. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is East To West Medicine.

The provider's business location address is:

2051A E SUMMERSWEET DR
BOISE, ID
ZIP 83716
Phone: (208) 908-1041

The provider's authorized official is Kathleen Lewis .
The authorized official title is Manager and has the following contact phone number (208) 955-8215.

The CLIA number assigned to this NPI record is 13D2255700 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/9/2018 and was last updated on 6/16/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	37185	IDAHO	No
2	363LA2100X	Nurse Practitioner	Acute Care	NP1522A	IDAHO	No
3	363LA2200X	Nurse Practitioner	Adult Health	NP1522A	IDAHO	No
4	363LP0200X	Nurse Practitioner	Pediatrics	NP1522A	IDAHO	No
5	363LP2300X	Nurse Practitioner	Primary Care	NP1522A	IDAHO	No
6	363LW0102X	Nurse Practitioner	Women's Health	NP1522A	IDAHO	No
7	363LF0000X	Nurse Practitioner	Family	NP1522A	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1265834311	MEDICAID	IDAHO

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »