Nicolette Kristie Segura
Community Health Worker in Boise, ID. Individual provider (NPI-1).
NPI number1629991997
StatusActive
Last updated in NPPESAug 3, 2026
Details
- NPI
- 1629991997
- Entity type
- Individual (NPI-1)
- Name
- Nicolette Kristie Segura
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2026
- Certification date
- Aug 3, 2026
- Last updated
- Aug 3, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
545 N Benjamin Ln Ste 185Boise, ID 83704-9625
Phone 208-322-1026
Mailing address
545 N Benjamin Ln Ste 185Boise, ID 83704-9625
Phone 208-322-1026
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 38 Community Health Worker providers in Boise · All 12,265 providers in Boise
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