Inlande Empire Gymnastics Association

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

INLANDE EMPIRE GYMNASTICS ASSOCIATION

Doing business as

Avant Coeur Gymnastics

Practice address

6360 N Sunshine St
Coeur D Alene, ID 83815-8699

Phone

(208) 635-5623

Fax

(208) 601-6153

NPI assigned

Mar 1, 2025

Organization subpart

No

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

Authorized official

Name

Ashton Noel Underdahl

Title

Strategist

Phone

(208) 691-0691

Specialties & licenses 1

Addresses

Other names 1

• Avant Coeur Gymnastics 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.

• Amy Katherine Thompson, ARNP

  • Nurse Practitioner
  • Coeur D Alene, ID
  • NPI 1891826806
  NPD

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

{
    "created_epoch": "1740787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740787200000",
    "number": "1124825724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 N SUNSHINE ST",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158699",
            "telephone_number": "208-635-5623",
            "fax_number": "208-601-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 N SUNSHINE ST",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158699",
            "telephone_number": "208-635-5623",
            "fax_number": "208-601-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLANDE EMPIRE GYMNASTICS ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-01",
        "last_updated": "2025-03-01",
        "certification_date": "2025-03-01",
        "status": "A",
        "authorized_official_last_name": "UNDERDAHL",
        "authorized_official_first_name": "ASHTON NOEL",
        "authorized_official_title_or_position": "STRATEGIST",
        "authorized_official_telephone_number": "208-691-0691"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avant Coeur Gymnastics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Nurse Practitioner in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Primary Care Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2025; 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.