SHANNON CHRISTINA BOYER (NPI# 1770744609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770744609 |
| Entity Type | Individual |
| Full Name | SHANNON CHRISTINA BOYER |
| Other Name | SHANNON CHRISTINA BOLSTER |
| Credential | NP |
| Practice Address |
777 N Raymond St Boise ID 83704-9251 |
| Practice Telephone | 2083676030 |
| Practice Fax Number | 2083227018 |
| Mailing Telephone | 2083676030 |
| Mailing Fax Number | 2083227018 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 18967A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124224894 | Shannon T. Boyer | Psychologist | 106 S Cleveland St, Dayton, TX 77535 | 2007-06-21 |
| 1376055921 | Shannon Boyer | Social Worker | 8100 Three Chopt Rd Rm 226, Richmond, VA 23229-4833 | 2017-11-03 |
| 1932628062 | Shannon Boyer | Massage Therapist | 8 Baltimore St, Hanover, PA 17331-3108 | 2017-09-09 |
| 1407963010 | Shannon L Boyer | Ophthalmology | 2702 Rew Cir, Suite A, Ocoee, FL 34761-4226 | 2006-08-23 |
| Street Address |
777 N RAYMOND ST |
| City | BOISE |
| State | ID |
| Zip Code | 83704-9251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578566253 | Jeffrey Karl Edwards | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2005-05-24 |
| 1619599347 | Kim Mcgrath | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2020-05-15 |
| 1437771169 | Kevin Mcnamee | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2020-05-15 |
| 1003438730 | Tracy Adams | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2020-05-15 |
| 1093337727 | Angela Bangs | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2020-05-15 |
| 1902428634 | Amanda Aman | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2020-05-15 |
| 1275155905 | Paige Ely | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2020-05-15 |
| 1457973182 | Zara Bowden | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2020-05-15 |
| 1992327621 | Kelsey Harding | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2020-05-15 |
| 1366064099 | Jeffrey Chase | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2020-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588288336 | Katina Ross | Nurse Practitioner | 11695 W Baserri Dr, Boise, ID 83709-1307 | 2020-06-07 |
| 1932741212 | Kylie B Di Lulo | Nurse Practitioner | 1309 E Fall Ct, Boise, ID 83706-5076 | 2019-10-08 |
| 1033638150 | Michael P Lorentzen | Nurse Practitioner | 190 E Bannock St Fl 9, Boise, ID 83712-6241 | 2017-09-11 |
| 1063786648 | Tennessee Phs PC | Nurse Practitioner | 950 W. Bannock Street, Suite 1100, Boise, ID 83702-6140 | 2012-02-29 |
| 1194093344 | Ella Mae Gordon | Nurse Practitioner | 450 West State Street, 4th Floor, Boise, ID 83720-0036 | 2011-12-02 |
| 1174839666 | Meghann R Bostrom | Nurse Practitioner | 13099 W Paint Dr, Boise, ID 83713-1927 | 2010-08-23 |
| 1255653796 | Natalia Khochay | Nurse Practitioner | 1075 N. Curtis Rd., Suite 200, Boise, ID 83706-1300 | 2010-02-25 |
| 1164670378 | Janet Mcreynolds Pelton | Nurse Practitioner | 2074 Roanoke Dr, Boise, ID 83712-7529 | 2008-08-29 |
| 1619155249 | Loreen Anne Nugent | Nurse Practitioner | 3611 Tamarack Dr, Boise, ID 83703-4551 | 2008-02-06 |
| 1891904132 | Mario P Martinez | Nurse Practitioner | 1075 S Curtis Rd, Suite 200, Boise, ID 83706-1350 | 2007-05-22 |
| Find all providers in BOISE | ||||
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| 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.