Individual provider Active NPI

Helena M. B. Rizor, PA

  • Medical Physician Assistant
  • Pocatello, ID
National Provider Identifier
1073513065
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA517 Issued in ID
Practice address
1448 E Center St
Pocatello, ID 83201-4105
Phone
(208) 234-1300
Fax
(208) 234-1333
NPI assigned
Jul 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA517 ID Primary

Addresses

Primary practice location

1448 E Center St
Pocatello, ID 83201-4105

Mailing address

1448 E Center St
Suite E
Pocatello, ID 83201-4105
Phone (208) 234-1300

Other identifiers 1

IdentifierTypeStateIssuer
1801989454MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA517IDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care, PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1073513065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 E CENTER ST",
            "address_2": "SUITE E",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014105",
            "telephone_number": "208-234-1300",
            "fax_number": "208-234-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 E CENTER ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014105",
            "telephone_number": "208-234-1300",
            "fax_number": "208-234-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZOR",
        "first_name": "HELENA",
        "middle_name": "M. B.",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-30",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ID",
            "license": "PA517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801989454",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.