Idaho Sleep and Neurology PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

IDAHO SLEEP AND NEUROLOGY PLLC

Doing business as

Idaho Sleep and Neurology PLLC

Practice address

211 E Logan St
Suite 105
Caldwell, ID 83605-4882

Phone

(208) 454-0567

Fax

(208) 454-0965

NPI assigned

Nov 16, 2006

Last updated

Dec 27, 2011By 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

Lance Hale

Title

Practice Manager

Phone

(208) 454-0567

Specialties & licenses 1

Addresses

Other names 1

• Idaho Sleep and Neurology PLLC Doing business as

Locations

Practitioners 1

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.

• Laura Lela Hartwig, FNP-C

  • Family Nurse Practitioner
  • Boise, ID
  • NPI 1023322856
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1063585305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E LOGAN ST",
            "address_2": "SUITE 105",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054882",
            "telephone_number": "208-454-0567",
            "fax_number": "208-454-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E LOGAN ST",
            "address_2": "SUITE 105",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054882",
            "telephone_number": "208-454-0567",
            "fax_number": "208-454-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO SLEEP AND NEUROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "208-454-0567"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Idaho Sleep and Neurology PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Idaho Department of Health & Welfare
• Idaho Dept of Health & Welfare Amhcalpgreg3
• Idaho Dhwbh3 Caldamhclinic
• Idaho Diagnostic Sleep Lab, Inc. (Western Sleep Disorders Center)
• Idaho Emergency Medical Group PC
• Idaho Sleep and Neurology, PLLC
• Idaho Surgery Center, LLC
• Idahodhwbh3 Cald Amh PSR
• Idahodhwbh3 Caldwell CMH PSR
• Idahodhwbh3 Case Management

• Specialist in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.