Organization Active NPI

Prosper Dda

  • Developmentally Disabled Services Day Training Agency
  • Rigby, ID
National Provider Identifier
1083362065
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
PROSPER DDA
Practice address
4043 E 530 N
Rigby, ID 83442-4948
Phone
(208) 270-1309
NPI assigned
Mar 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Kim Berger
Title
Account Administrator
Phone
(208) 270-1309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

4043 E 530 N
Rigby, ID 83442-4948

Mailing address

4043 E 530 N
Rigby, ID 83442-4948

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1083362065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4043 E 530 N",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834424948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4043 E 530 N",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834424948",
            "telephone_number": "208-270-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPER DDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "ACCOUNT ADMINISTRATOR",
        "authorized_official_telephone_number": "208-270-1309"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rigby, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.