ANDREA L BOCKENSTETTE


Address: 300 E Jefferson St, Ste 101, Boise, ID 83712-6246
Phone: 2083221680

ANDREA L BOCKENSTETTE (NPI# 1437583408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437583408
Entity Type Individual
Full Name ANDREA L BOCKENSTETTE
Credential NP
Practice Address 300 E Jefferson St
Ste 101
Boise
ID 83712-6246
Mailing Address 190 E Bannock St
Boise
ID 83712-6241
Practice Telephone 2083221680
Practice Fax Number 2083364035
Mailing Telephone 2083812222
Enumeration Date 2013-08-27
Last Update Date 2015-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
NP-1310A ID Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 300 E JEFFERSON ST
STE 101
City BOISE
State ID
Zip Code 83712-6246

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134199631 Cherish L Smith Physician Assistant 300 E Jefferson St, Suite 300, Boise, ID 83712-6246 2006-01-25
1962958892 Brittany Matthews Nurse Practitioner 300 E Jefferson St, #300, Boise, ID 83712-6246 2016-08-31
1013396266 Emily Barnett Social Worker 300 E Jefferson St, Boise, ID 83712-6246 2015-05-20
1639519853 Sara M O'connor Nurse Practitioner 300 E Jefferson St, Suite 101, Boise, ID 83712-6246 2013-07-02
1295027688 Jodie L. Donovan Internal Medicine 300 E Jefferson St, Suite 300, Boise, ID 83712-6246 2011-05-04
1396071056 Sorcha M Cusack Physician Assistant 300 E Jefferson St, Ste 300, Boise, ID 83712-6246 2009-10-29
1255574109 Roger Thomas Turcotte Jr. Internal Medicine 300 E Jefferson St, Suite 201, Boise, ID 83712-6246 2009-04-08
1306006929 Shannon R Vaughn Nurse Practitioner 300 E Jefferson St, Suite 101, Boise, ID 83712-6246 2008-06-17
1396916417 St. Luke's Regional Medical Center Nurse Practitioner 300 E Jefferson St, Suite 101, Boise, ID 83712-6246 2008-03-17
1669666939 St Lukes Regional Medical Center Clinic/Center 300 E Jefferson St, Boise, ID 83712-6246 2007-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477016012 Veranda At Barber Station LLC Assisted Living Facility 3266 E. Barber Valley Drive, Boise, ID 83712 2019-04-10
1891258612 Mary Elizabeth Riedel Occupational Therapist 190 E Bancock St., Boise, ID 83712 2019-04-09
1427523968 Q17 Health Partners LLC Surgery 100 East Idaho Street #317, Boise, ID 83712 2018-10-11
1053898247 Travis Dale Worwood Social Worker South Entrance, 1075 E. Park Blvd, Boise, ID 83712 2018-07-20
1689166761 Kristen Nicole Ray Social Worker 109 E Bannock St, Boise, ID 83712 2018-06-04
1740706894 Meghan Heitstuman Social Worker 190 E Bannock Street, Boise, ID 83712 2017-08-21
1942759725 Kay Craig Physical Therapist 190 Bannock, Boise, ID 83712 2016-09-22
1235686395 Sharon Bjornson Physical Therapist 190 East Bannack, Boise, ID 83712 2016-09-07
1033576491 Heather Hussey Genetic Counselor, MS 100 E Idaho Street, Msti Genetics, Boise, ID 83712 2016-01-15
1295139137 Amie Bartholomeus Massage Therapist 100 East Idaho Street, St Luke's Mountain States Tumor Institute, Boise, ID 83712 2014-10-21
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568061398 Nicolette A Eberline Nurse Practitioner 4228 W Guard St Bldg 665, Boise, ID 83705-8049 2020-10-22
1013522275 Beau Lee Nurse Practitioner 2900 N Burton St, Boise, ID 83704-5314 2020-09-14
1588277529 Tauna Marie Young Nurse Practitioner 1681 S Kimball Way, Boise, ID 83709-1654 2020-08-28
1497367114 Lindsay Ruggles Nurse Practitioner 1105 S Federal Way, Boise, ID 83705-2546 2020-08-24
1265056014 Brynn Crisp Nurse Practitioner 1075 N Curtis Rd Ste 100, Boise, ID 83706-1348 2020-06-07
1518592674 Amber Lynn Gillette Nurse Practitioner 1111 S Orchard St Ste 251, Boise, ID 83705-1964 2020-03-10
1265062806 Jamie Watts Nurse Practitioner 5353 W Hill Rd, Boise, ID 83703-2943 2020-01-23
1730654435 Melissa Gaffrey Nurse Practitioner 500 S 8th St, Boise, ID 83702-7107 2018-10-09
1659876399 Dixie Jean Skinner Nurse Practitioner 10583 W. Lake Hazel Rd., Boise, ID 83709-8370 2018-03-26
1063912202 Devon Moser Nurse Practitioner 901 N Curtis Rd Ste 100, Boise, ID 83706-1339 2018-02-14
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Competitor

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City BOISE
Zip Code 83712

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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