Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tara C Rothwell, PA

Individual provider Physician Assistant · NPI 1912087438

Tara C Rothwell, PA is a Physician Assistant in Boise, Idaho. Qualified in 1997, 29 years ago. Practices with Barrett Hospital Development Corporation, a 32-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Nevada.

Years since qualifying
29
Licensed in
ID, NV
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6052 W State St
Boise, ID 83703-2739
Phone: (208) 344-7799
Fax: (208) 344-7152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 W Broadway St, Missoula, MT 59802-4008 — (406) 543-7271

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA669 (ID)
Physician Assistant Taxonomy 363A00000X · Licence PA574 (NV)

Record details

NPI number1912087438
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESJanuary 4, 2023
Certification dateJanuary 4, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Barrett Hospital Development Corporation — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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