Healthcare With Heart LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HEALTHCARE WITH HEART LLC

Practice address

823 Center Ave
Payette, ID 83661-2535

Phone

(208) 642-3396

Fax

(208) 642-9060

NPI assigned

May 23, 2007

Last updated

Jun 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Eugene Carroll, M.D.NPI 1790821122

Title

Owner

Phone

(208) 989-0070

Specialties & licenses 3

Addresses

Other identifiers 11

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8016/brand/1/csg/1/fhir/r4

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald Eugene Carroll, M.D.

  • Family Medicine Physician
  • Payette, ID
  • NPI 1790821122
  Medicare reassignment Care Compare group Authorized official
• Rene Robert Alamo, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Nampa, ID
  • NPI 1558083402
  Medicare reassignment Care Compare group NPD
• Joann E Buhr Cote, DNP

  • Family Medicine Physician
  • Payette, ID
  • NPI 1881812691
  Medicare reassignment Care Compare group NPD
• Crystal Shanice Flores-Alamo, FNP

  • Nurse Practitioner
  • Nampa, ID
  • NPI 1932889318

  Family

  Medicare reassignment Care Compare group NPD
• Ben Barbot, DNP, FNP-C

  • Nurse Practitioner
  • Payette, ID
  • NPI 1932550845
  Medicare reassignment Care Compare group
• Alisha Lorraine Phillips, FNP

  • Family Nurse Practitioner
  • Payette, ID
  • NPI 1205972544
  Medicare reassignment Care Compare group
• Janice Pasqualin, FNP

  • Family Nurse Practitioner
  • Payette, ID
  • NPI 1487956090
  NPD (past)
• Sue Ellen Risenhoover, CFNP

  • Family Nurse Practitioner
  • Crescent City, CA
  • NPI 1336262336
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1053521344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 CENTER AVE",
            "city": "PAYETTE",
            "state": "ID",
            "postal_code": "836612535",
            "telephone_number": "208-642-3396",
            "fax_number": "208-642-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 CENTER AVE",
            "city": "PAYETTE",
            "state": "ID",
            "postal_code": "836612535",
            "telephone_number": "208-642-3396",
            "fax_number": "208-642-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE WITH HEART LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-989-0070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "N19189",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M4116",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE-REC",
            "identifier": "000010005775",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORIDIAN",
            "identifier": "R108734",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231902",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0036365",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE-LP",
            "identifier": "000010147752",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278542",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-REC",
            "identifier": "73437",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806957500",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-LP",
            "identifier": "NPPU5",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-GROUP",
            "identifier": "8K818",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-RAILROAD",
            "identifier": "D80174720",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macie Gardner
• Gerdes Counseling
• Rina Giudicelli
• Rebecca Hammon, NP
• Anne M Haney, LPC
• Jack Arthur Helgeson, RPH
• Bryon D Hemphill, DO
• Holly Anne Henggeler, PHARM D
• Tiffanee B Henson
• Miranda Arisbet Hernandez

• Family Medicine Physician in Payette, ID
• Providers in Payette, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.