TESSLYN SUZANNE KEIM PA-C
NPI 1376887547
Physician Assistant in Boise, ID

Active since November 12, 2012
8854 W EMERALD ST STE 140, BOISE, ID 83704(208) 321-4790(503) 963-2802 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2020, May 18, 2020 (2 updates tracked since 2020).

About Tesslyn Suzanne Keim Pa-c NPPES

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

TESSLYN SUZANNE KEIM PA-C (NPI 1376887547) is an individual physician assistant in Boise, Idaho, licensed in Idaho (PA-1878) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1376887547
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTESSLYN SUZANNE KEIMCredential: PA-C
Location Address8854 W EMERALD ST STE 140Boise, ID 83704-4845
Mailing Address847 Ne 19th Ave, Suite 300Portland, OR 97232-2684 · (503) 963-2801 · Fax (503) 963-2825
Fax(503) 963-2802
Sole ProprietorNo
Enumeration DateNovember 12, 2012
Last NPPES UpdateJuly 14, 20202 updates tracked since enumeration
NPPES CertifiedJuly 14, 2020
NPI 1376887547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in ID · PA-1878
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
8854 W EMERALD ST STE 140, Boise, ID 83704

Other Identifiers 2

Medicaid2047400WA
Medicaid500667246OR

Other Providers at the Same Location NPPES 9

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

Orthopaedic Surgery
8854 W EMERALD ST STE 140
BOISE, ID 83704
Surgery
8854 W EMERALD ST STE 140
BOISE, ID 83704
Surgery
8854 W EMERALD ST STE 140
BOISE, ID 83704
Urology
8854 W EMERALD ST STE 140
BOISE, ID 83704
Surgery
8854 W EMERALD ST STE 140
BOISE, ID 83704
Orthopaedic Surgery
8854 W EMERALD ST STE 140
BOISE, ID 83704
Surgery
8854 W EMERALD ST STE 140
BOISE, ID 83704
Physician Assistant
8854 W EMERALD ST STE 140
BOISE, ID 83704

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 Tesslyn Keim's NPI number?

The NPI number for Tesslyn Keim is 1376887547. It was assigned to this individual provider in the NPPES registry on November 12, 2012.

Where is Tesslyn Keim located?

Tesslyn Keim practices at 8854 W Emerald St Ste 140, Boise, ID 83704. The listed phone number is (208) 321-4790.

What is Tesslyn Keim's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Tesslyn Keim was last updated on July 14, 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.