Healthcare Provider Details

I. General information

NPI: 1649181447
Provider Name (Legal Business Name): ACTS OF KINDNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 S SANTA CRUZ WAY
BOISE ID
83709-5164
US

IV. Provider business mailing address

5500 S SANTA CRUZ WAY
BOISE ID
83709-5164
US

V. Phone/Fax

Practice location:
  • Phone: 661-805-8099
  • Fax:
Mailing address:
  • Phone: 661-805-8099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC1500X
TaxonomyCommunity Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. KRISTA CHARLENE KOENIG
Title or Position: FNP
Credential: ARNP-C
Phone: 661-805-8099