Active NPI
Rise Together, LLC
- Developmental Disabilities Clinic/Center
- Meridian, ID
National Provider Identifier
1083323380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Legal business name
- RISE TOGETHER, LLC
- Practice address
- 4931 N Elena Maria PL
Meridian, ID 83646-6758 - Phone
- (208) 559-2333
- NPI assigned
- Nov 16, 2022
- Last updated
- Nov 16, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brooke Johnson
- Title
- Owner/ Operating Manager
- Phone
- (208) 559-2333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | NU | Primary |
Addresses
Primary practice location
4931 N Elena Maria PL
Meridian, ID 83646-6758
Mailing address
4949 N Elena Maria PL
Meridian, ID 83646-6758
Phone (208) 559-2333
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brookenjohnson@hotmail.com | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668556800000",
"number": "1083323380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4949 N ELENA MARIA PL",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836466758",
"telephone_number": "208-559-2333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4931 N ELENA MARIA PL",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836466758",
"telephone_number": "208-559-2333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RISE TOGETHER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-16",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "BROOKE",
"authorized_official_title_or_position": "OWNER/ OPERATING MANAGER",
"authorized_official_telephone_number": "208-559-2333"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brookenjohnson@hotmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "4931 N Elena Maria Pl",
"city": "Meridian",
"state": "ID",
"country_code": "US",
"postal_code": "836466758",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.