=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649181447
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ACTS OF KINDNESS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/14/2026
-----------------------------------------------------
Last Update Date | 09/14/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5500 S SANTA CRUZ WAY
-----------------------------------------------------
City | BOISE
-----------------------------------------------------
State | ID
-----------------------------------------------------
Zip | 83709-5164
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-805-8099
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5500 S SANTA CRUZ WAY
-----------------------------------------------------
City | BOISE
-----------------------------------------------------
State | ID
-----------------------------------------------------
Zip | 83709-5164
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-805-8099
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FNP
-----------------------------------------------------
Name | MS. KRISTA CHARLENE KOENIG
-----------------------------------------------------
Credential | ARNP-C
-----------------------------------------------------
Telephone | 661-805-8099
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LC1500X
-----------------------------------------------------
Taxonomy Name | Community Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------