AMY L BACCA APRN AGCNS-BC
NPI 1144950353
Clinical Nurse Specialist in Boise, ID

Q: What is Amy Bacca's NPI number?

The NPI number for Amy Bacca is 1144950353. It was assigned to this individual provider in the NPPES registry on June 13, 2022.

Q: What is Amy Bacca's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Bacca was last updated on June 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 13, 2022

720 E PARK BLVD STE 260, BOISE, ID 83712(208) 381-6879 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Amy L Bacca Aprn Agcns-bc NPPES

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

AMY L BACCA APRN AGCNS-BC (NPI 1144950353) is an individual clinical nurse specialist in Boise, Idaho, licensed in Idaho (67616) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1144950353

Entity TypeIndividualFemale

Primary Taxonomy364S00000X

Provider Legal NameAMY L BACCACredential: APRN AGCNS-BC

Location Address720 E PARK BLVD STE 260Boise, ID 83712-7765

Mailing Address4300 N Stratford DrBoise, ID 83704-3356 · (208) 447-7138

Phone(208) 381-6879

Sole ProprietorNo

Enumeration DateJune 13, 2022

NPPES CertifiedJune 13, 2022

✔ NPI 1144950353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364S00000X

License✔ Licensed in ID · 67616

Definition

A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.

720 E PARK BLVD STE 260, Boise, ID 83712

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Bacca's NPI number?

The NPI number for Amy Bacca is 1144950353. It was assigned to this individual provider in the NPPES registry on June 13, 2022.

Where is Amy Bacca located?

Amy Bacca practices at 720 E Park Blvd Ste 260, Boise, ID 83712. The listed phone number is (208) 381-6879.

What is Amy Bacca's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

When was this NPI record last updated?

The NPPES record for Amy Bacca was last updated on June 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.