Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083772065 Individual Practitioner Female Practitioner

Nicole Marie Maxwell , NMD

Naturopath • Boise, ID

Professional Overview & Biography Verified Profile Summary

Nicole Maxwell, NMD is a registered healthcare professional specializing in Naturopath in Boise, ID. Practice services are available at 4219 W EMERALD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4219 W Emerald St

Boise, ID 837062036

Telephone 2083380405
Fax 2084229957
Associated Practice Facility / Clinic
🏢 Boise Natural Health, Inc Facility NPI 1083742233

Specialty Benchmarks & Practice Insights

Comparative analytics for Naturopath in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.0 Yrs
Regional Practice Density
17 Specialists

Practicing in Boise, ID (70 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-01-28
Naturopath Primary Specialty

NUCC Taxonomy Code: 175F00000X

State License WA NT00001153

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Tax Identification Number
201450836 (WA)

Secondary Practice Locations

17510 Vashon Highway Sw

Vashon, WA 98070

Phone: 2064631480

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1285005801
NPI 1528359635

Doctor of Naturopathic Medicine

NPI 1588388334
NPI 1699803841

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 28, 2020

Registered at 4219 W EMERALD ST, BOISE, ID 837062036 (Tel: 2083380405)

📍
Updated Business Mailing Address January 28, 2020

Registered at 4219 W EMERALD ST, BOISE, ID 837062036 (Tel: 2083380405)

👤
Provider Name / Credentials Updated January 28, 2020

Recorded as NICOLE MAXWELL, NMD

NPI Profile Active July 09, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2014

Registered at 17510 VASHON HIGHWAY SW, VASHON, WA 98070 (Tel: 2064631480)

📍
Updated Business Mailing Address July 09, 2014

Registered at PO BOX 1826, 17510 VASHON HWY SW, VASHON, WA 980701826 (Tel: 2064631480)

👤
Provider Name / Credentials Updated July 09, 2014

Recorded as NICOLE MAXWELL, N.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2014

Naturopath (License #NT00001153 in WA)

🟢
Initial NPI Registration & Enumeration December 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083772065
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2006
Last Update: January 28, 2020
Sole Proprietor: No

Mailing Address

4219 W Emerald St

Boise, ID 837062036

Phone: 2083380405

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.