MS. ILSE M. HERRERA (NPI# 1992894042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992894042 |
| Entity Type | Individual |
| Full Name | MS. ILSE M. HERRERA |
| Credential | NP, MSN |
| Practice Address |
500 West Fort Street Boise ID 83702-4598 |
| Mailing Address |
P.o. Box 7922 Boise ID 83707 |
| Practice Telephone | 2084221325 |
| Practice Fax Number | 2084221408 |
| Mailing Telephone | 2088703030 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363L00000X | Nurse Practitioner | N27129 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
N27129 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
N27129 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
500 WEST FORT STREET |
| City | BOISE |
| State | ID |
| Zip Code | 83702-4598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972545473 | Heather Spero | Physician Assistant | 500 West Fort Street, Boise, ID 83702-4598 | 2006-06-11 |
| 1932458437 | Sarah Kearney | Social Worker | 500 West Fort Street, Boise, ID 83702 | 2012-08-30 |
| 1124159934 | George W Keyes | General Practice | 500 West Fort Street, Boise, ID 83702-4598 | 2007-03-07 |
| 1073606547 | Michael Joseph Kilfoyle | Internal Medicine | 500 West Fort Street, Boise, ID 83702 | 2006-10-02 |
| 1386655827 | Nancy Lee Daniels | Social Worker | 500 West Fort Street, Boise Veterans Affairs Medical Center (531/122), Boise, ID 83702 | 2006-08-10 |
| 1851302582 | Stan M Jasper | Social Worker | 500 West Fort Street, Boise, ID 83702 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on MS. ILSE M. HERRERA.
| 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.