A NEW LEAF INC NPI 1629492814

NPI Information

NPI: 1629492814
Provider Name: A NEW LEAF, INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2548 N STOKESBERRY PL
MERIDIAN, ID
ZIP 83646
Phone: (208) 695-6355
Get Directions

A NEW LEAF, INC is a family medicine in Meridian, ID. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. A NEW LEAF, INC NPI is 1629492814. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2548 N STOKESBERRY PL
MERIDIAN, ID
ZIP 83646-144
Phone: (208) 695-6355
Fax: (208) 939-5599

The provider's authorized official is Brian Keith Crownover .
The authorized official title is Vice President and has the following contact phone number (208) 695-6355.

The enumeration date for this NPI number is 2/10/2014 and was last updated on 2/10/2014.

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	LCSW-1080	IDAHO	No
2	207Q00000X	Family Medicine		M11819	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	1369080	MEDICARE UPIN	IDAHO
2	1114063344	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 »