MYFAMILYDOC
NPI 1346001377
Nurse Practitioner - Family in Boise, ID

NPI Status: Active since January 17, 2024

Contact Information

1000 N CURTIS RD STE 105
BOISE, ID
ZIP 83706
Phone: (949) 695-3813

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  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 13D2298714
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 02-06-2026

About MYFAMILYDOC

This page provides the complete NPI Profile along with additional information for Myfamilydoc, a provider established in Boise, Idaho operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1346001377 assigned on January 2024. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dimitri Shchadenko Fnp (Owner)

NPI
1346001377
Provider Name
MYFAMILYDOC
Entity Type
Organization
Location Address
1000 N CURTIS RD STE 105 BOISE, ID 83706
Location Phone
(949) 695-3813
Mailing Address
2885 NW 10TH AVE MERIDIAN, ID 83646
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-17-2024
Last Update Date
11-26-2024
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A nurse practitioner (NP) like Myfamilydoc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DIMITRI SHCHADENKO FNP

Authorized Official Title
OWNER
Authorized Official Phone
(650) 284-6595

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D2298714
Facility Type
Practitioner Other
Certificate Effective Date
February 07, 2024
Certificate Expiration Date
February 06, 2026
Laboratory Director
DIMITRI SHCHADENKO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Myfamilydoc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1346001377
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2386002314
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 0 + 0 + 2 + 3 + 1 + 4 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1346001377 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104489343 DIMITRI SHCHADENKO FNP
Individual
Nurse Practitioner (Family)1000 N CURTIS RD STE 105
BOISE, ID 83706
(650) 284-6595

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346001377, enumerated in the NPI registry as an "organization" on January 17, 2024

The provider is located at 1000 N Curtis Rd Ste 105 Boise, Id 83706 and the phone number is (949) 695-3813

This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider's CLIA number is 13D2298714 for a "practitioner other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 17, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.