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FELICIA LYNN BERRIDGE
NPI 1861101636
Surgery - Pediatric Surgery in Boise, ID

Active since November 21, 2022
190 E BANNOCK ST, BOISE, ID 83712(208) 381-2222 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Felicia Lynn Berridge NPPES

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

FELICIA LYNN BERRIDGE (NPI 1861101636) is an individual pediatric surgery provider in Boise, Idaho, licensed in Idaho ($$$$$$$$$) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1861101636
Entity TypeIndividualFemale
Primary Taxonomy2086S0120X
Provider Legal NameFELICIA LYNN BERRIDGE
Location Address190 E BANNOCK STBoise, ID 83712-6241
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-2222
Phone(208) 381-2222
Sole ProprietorNo
Enumeration DateNovember 21, 2022
NPPES CertifiedNovember 19, 2022
✔ NPI 1861101636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in ID · $$$$$$$$$
Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

190 E BANNOCK ST, Boise, ID 83712
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Other Providers at the Same Location NPPES 20

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

MRS. TAMI MONICA STONE CPHT
Pharmacy Technician
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-4353
DR. MARIE ANN HETHERINGTON PHARMACIST
Pharmacist
190 E BANNOCK ST, EMPLOYEE OUTPATIENT PHARMACY
BOISE, ID 83712
Ada County (208) 381-4353
DR. SCOTT ALAN ROBISON PHARM D
Pharmacist
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2490
MS. JUDITH M PERRY NP
Nurse Practitioner (Family)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2222
DR. ADAM S MAXFIELD M.D.
Radiology (Diagnostic Radiology)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2094
CHRISTOPHER GNADINGER MD
Emergency Medicine (Emergency Medical Services)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2222
LOUIS D VOULELIS MD
Anesthesiology
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 336-0895
STEPHANIE BODES MD
Emergency Medicine
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2222

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 Felicia Berridge's NPI number?

The NPI number for Felicia Berridge is 1861101636. It was assigned to this individual provider in the NPPES registry on November 21, 2022.

Where is Felicia Berridge located?

Felicia Berridge practices at 190 E Bannock St, Boise, ID 83712. The listed phone number is (208) 381-2222.

What is Felicia Berridge's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

When was this NPI record last updated?

The NPPES record for Felicia Berridge was last updated on November 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.