Boise Ketamine Clinic
NPI 1518547140 · Infusion Therapy Clinic/Center · Boise, ID
Boise Ketamine Clinic is a Infusion Therapy Clinic/Center organization in Boise, ID (NPI 1518547140).
Provider details
- NPI number
- 1518547140
- Entity type
- Organization
- Primary specialty
- Infusion Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nykol Bailey, Owner(208) 801-1414
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-04-08
- Last updated
- 2021-04-08
- Certified
- 2021-03-25
Frequently asked questions
- What is Boise Ketamine Clinic's NPI number?
- Boise Ketamine Clinic's National Provider Identifier (NPI) is 1518547140, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boise Ketamine Clinic?
- Boise Ketamine Clinic is classified in the NPPES registry as Infusion Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Boise Ketamine Clinic located?
- Boise Ketamine Clinic's practice location on file with NPPES is 2800 W Overland Rd, Boise, ID 83705-3038.
- What is Boise Ketamine Clinic's phone number?
- The practice phone number listed in the NPPES registry for Boise Ketamine Clinic is (208) 801-1414.
- Who is the authorized official for Boise Ketamine Clinic?
- The authorized official listed on Boise Ketamine Clinic's NPPES record is Nykol Bailey, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boise Ketamine Clinic's NPI active?
- Yes — Boise Ketamine Clinic's NPI (1518547140) is active in the NPPES registry as of the last update on 2021-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.