| Mr Blake Taylor Thompson, MSN, APRN, FNP-C | |
|
800 E Park Blvd, Boise, ID 83712-7763 | |
| (208) 381-4210 | |
| (208) 381-2045 |
| Full Name | Mr Blake Taylor Thompson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 800 E Park Blvd, Boise, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649739392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 50167 (Idaho) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 69119 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| St Luke's Nampa Medical Center | Nampa, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic-treasure Valley Llc | 4981878402 | 1062 |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Entity Name | Tripp Family Medicine, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043578883 PECOS PAC ID: 2668635723 Enrollment ID: O20120530000093 |
| Entity Name | River View Urgent Care & Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790043693 PECOS PAC ID: 6901056555 Enrollment ID: O20121017000548 |
| Entity Name | Urgent Care Of Idaho Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538578687 PECOS PAC ID: 8527381136 Enrollment ID: O20150106000297 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Blake Taylor Thompson, MSN, APRN, FNP-C 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Mr Blake Taylor Thompson, MSN, APRN, FNP-C 800 E Park Blvd, Boise, ID 83712-7763 Ph: (208) 381-4210 |
Nora M Suarez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 | |
Elizabeth Hingley, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 460 W Sandstone Ct, Boise, ID 83702 Phone: 662-889-0513 Fax: 863-228-8587 | |
Dr. Nancy Jane L'heureux, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6259 W Emerald St, Boise, ID 83704 Phone: 208-489-1900 Fax: 208-375-5286 | |
Jennifer Woodburn, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-5015 | |
Carl Ciplinski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10583 W Lake Hazel Rd, Boise, ID 83709 Phone: 208-302-5950 | |
Kathryn Laura Cnossen, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8000 S Federal Way, Boise, ID 83716 Phone: 208-368-2109 | |
Mrs. Chelsea Rose Wallace, RN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9976 W Emerald St, Boise, ID 83704 Phone: 208-229-3742 |