Organization Active NPI

Interventional Pain Associates P.L.L.C.

  • Certified Registered Nurse Anesthetist
  • Eagle, ID
National Provider Identifier
1063322782
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
INTERVENTIONAL PAIN ASSOCIATES P.L.L.C.
Practice address
100 Cottonwood CT Ste D150
Eagle, ID 83616-6576
Phone
(208) 917-2713
Fax
(208) 955-2029
NPI assigned
Sep 8, 2026
Last updated
Sep 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Joshua Coleman, CRNANPI 1982841573
Title
Member
Phone
(951) 264-2258

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X Primary

Addresses

Primary practice location

100 Cottonwood CT Ste D150
Eagle, ID 83616-6576

Mailing address

100 Cottonwood CT Ste D150
Eagle, ID 83616-6576
Phone (208) 917-2713

National Provider Directory

National Provider Directory

Locations

100 Cottonwood Ct
Ste D150
Eagle, ID 83616
Phone (208) 917-2713

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1063322782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COTTONWOOD CT STE D150",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166576",
            "telephone_number": "208-917-2713",
            "fax_number": "208-955-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COTTONWOOD CT STE D150",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166576",
            "telephone_number": "208-917-2713",
            "fax_number": "208-955-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN ASSOCIATES P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "951-264-2258",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.