Southern Idaho Family Medicine PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SOUTHERN IDAHO FAMILY MEDICINE PLLC

Practice address

5524 S Pinland Ave
Meridian, ID 83642-7353

Phone

(208) 985-3864

NPI assigned

Sep 3, 2019

Organization subpart

No

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

Authorized official

Name

Paige Ziemer, FNP

Title

FNP/Owner

Phone

(208) 871-8768

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20114/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1043868995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N MAIN ST UNIT 184",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836805013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5524 S PINLAND AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427353",
            "telephone_number": "208-985-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN IDAHO FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "ZIEMER",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "FNP/OWNER",
        "authorized_official_telephone_number": "208-871-8768",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Alan Sordahl Jr., PSY.D.
• Shawn Soren, M.S., O.T. R/L
• Lorena Sorensen
• Soren Sorensen
• Andrew Garry Southard, M.D.
• Southern Idaho Health Partners Dba Saltzer Clinics
• Southern Idaho Health Partners LLC
• Southern Idaho Surgery Center PLLC
• Southern Springs Dental PLLC
• Ashley Southern, NMD

• Family Nurse Practitioner in Meridian, ID
• Providers in Meridian, 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 Sep 3, 2019; 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.