INTERMOUNTAIN FUNCTIONAL MEDICINE, PLLC
NPI 1659719177
Nurse Practitioner - Family in Boise, ID

NPI Status: Active since June 06, 2013

Contact Information

913 S ALLANTE PL
BOISE, ID
ZIP 83709
Phone: (208) 947-5390
Fax: (208) 947-3465

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  • Organization
  • Nurse Practitioner
  • Family

About INTERMOUNTAIN FUNCTIONAL MEDICINE, PLLC

This page provides the complete NPI Profile along with additional information for Intermountain Functional Medicine, Pllc, a provider established in Boise, Idaho operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1659719177 assigned on June 2013. The practitioner's primary taxonomy code is 363LF0000X with license number NP816A (ID). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Kathy L Bowen Fnp-c (Sole Member)

NPI
1659719177
Provider Name
INTERMOUNTAIN FUNCTIONAL MEDICINE, PLLC
Entity Type
Organization
Location Address
913 S ALLANTE PL BOISE, ID 83709
Location Phone
(208) 947-5390
Location Fax
(208) 947-3465
Mailing Address
13960 W WAINWRIGHT DR BOISE, ID 83713
Mailing Phone
(208) 947-5390
Mailing Fax
(208) 947-3465
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-06-2013
Last Update Date
06-06-2013
Code Navigator

A nurse practitioner (NP) like Intermountain Functional Medicine, Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
NP816A
License State
ID

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATHY L BOWEN FNP-C

Authorized Official Title
SOLE MEMBER
Authorized Official Phone
(208) 947-5390

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
NP816AOTHER (01)IDLICENSE NUMBER

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1659719177, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 7 → 14 → 5 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 0 + 9 + 1 + 4 + 1 + 1 + 8 + 1 + 1 + 4 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1659719177.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659719177, enumerated as an "organization" on June 06, 2013.

The provider is located at 913 S ALLANTE PL BOISE, ID 83709 and the phone number is (208) 947-5390.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.