DR. NICOLE MARIE MAXWELL NMD
NPI 1083772065
Naturopath in Boise, ID

Q: What is Nicole Maxwell's NPI number?

The NPI number for Nicole Maxwell is 1083772065. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Q: What is Nicole Maxwell's specialty?

The primary specialty registered for this NPI is Naturopath with taxonomy code 175F00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Maxwell was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 04, 2006

4219 W EMERALD ST, BOISE, ID 83706(208) 338-0405(208) 422-9957 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Nicole Marie Maxwell Nmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICOLE MARIE MAXWELL NMD (NPI 1083772065) is an individual naturopath provider in Boise, Idaho, licensed in Washington (NT00001153) and active in the NPI registry since December 2006. She maintains a secondary practice location in Vashon.

NPPES Registry Identity

NPI1083772065

Entity TypeIndividualFemale

Primary Taxonomy175F00000X

Provider Legal NameDR. NICOLE MARIE MAXWELLCredential: NMD

Location Address4219 W EMERALD STBoise, ID 83706-2036

Mailing Address4219 W Emerald StBoise, ID 83706-2036 · (208) 338-0405 · Fax (208) 422-9957

Phone(208) 338-0405

Fax(208) 422-9957

Sole ProprietorNo

Enumeration DateDecember 4, 2006

Last NPPES UpdateJanuary 28, 2020

✔ NPI 1083772065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNaturopathOther Service Providers

Taxonomy Code175F00000X

License✔ Licensed in WA · NT00001153

Definition

Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life.

4219 W EMERALD ST, Boise, ID 83706

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Secondary Practice Location 1

Location 117510 Vashon Highway SWVashon, WA 98070 · Phone (206) 463-1480 · Fax (800) 688-2036

Other Identifiers 2

Other201450836WA · Tax Identification Number

Other453328671WA · Tin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOISE NATURAL HEALTH, INC

Naturopath