Individual
MR. BLAKE TAYLOR THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, FNP-C
Contact information
Practice address
800 E PARK BLVD, BOISE, ID 83712-7763
(208) 381-4210
(208) 381-2045
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
50167
ID
363LF0000X
Family Nurse Practitioner
Primary
69119
ID
Other
Enumeration date
03/12/2019
Last updated
02/02/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us