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Intermountain Functional Medicine, Pllc

Family Nurse Practitioner in Boise, ID · enumerated 2013 · authorized official Kathy Bowen, Sole Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1659719177

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Registry record

Entity type Organization (Type 2)
Legal business name Intermountain Functional Medicine, Pllc
Practice address 913 S Allante Pl, Boise, ID, 83709
Phone (208) 947-5390
Fax (208) 947-3465
Enumeration date Jun 6, 2013
Last updated in NPPES Jun 6, 2013

Taxonomy & classification

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License NP816A (ID) Primary

Authorized official

Name Kathy Bowen
Title Sole Member
Phone (208) 947-5390

Other identifiers

Identifier Type State Issuer
NP816A Other ID LICENSE NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Intermountain Functional Medicine, Pllc?
NPPES lists Kathy Bowen (Sole Member) as the authorized official for this organization.
What is the NPI number for Intermountain Functional Medicine, Pllc?
The NPI for Intermountain Functional Medicine, Pllc is 1659719177, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-06-06.