Deva Wellness PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

DEVA WELLNESS PLLC

Practice address

1620 W Bannock St
Boise, ID 83702-5156

Phone

(208) 918-2242

NPI assigned

Jun 27, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tamra Katherine Geryk, APRN, FNP-CNPI 1487220380

Title

Owner, FNP-X

Phone

(413) 687-3027

Specialties & licenses 1

Addresses

Other names 1

• Ritual Wellness Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tamra Katherine Geryk, FNP-C

  • Family Nurse Practitioner
  • Boise, ID
  • NPI 1487220380
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1043055338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 N GINZEL ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837034214",
            "telephone_number": "413-687-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 W BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025156",
            "telephone_number": "208-918-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVA WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "GERYK",
        "authorized_official_first_name": "TAMRA",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER, FNP-X",
        "authorized_official_telephone_number": "413-687-3027",
        "authorized_official_credential": "APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ritual Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Drew Alan Detwiler, PT, DPT
• Jason Detwiler
• Keith Deugan, CADC
• Eric Deutsch, M.D.
• Kirsten M Deutsch, MD
• Develop Health RX, LLC
• Developmental Concepts, Inc.
• Taylor Devereux, PT, DPT
• William Devereux, RPH
• Justin Willis Devinaspre, NP

• Family Nurse Practitioner in Boise, ID
• Providers in Boise, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.