Active NPI
Zachary Friberg, NP
- Nurse Practitioner
- Meridian, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1071540
- Practice address
- 660 E Franklin Rd Ste 140
Meridian, ID 83642-2914 - Phone
- (208) 992-2672
- Fax
- (877) 569-2323
- NPI assigned
- Dec 3, 2024
- Last updated
- Jan 2, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 10036869 | OR | |
| Nurse Practitioner | 363L00000X | 1071540 | ID | Primary |
Addresses
Primary practice location
660 E Franklin Rd Ste 140
Meridian, ID 83642-2914
Mailing address
660 E Franklin Rd Ste 140
Meridian, ID 83642-2914
Phone (208) 992-2672
Other practice location 1
808 N Whitley Dr
Fruitland, ID 83619-2437
Phone (208) 452-2672
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 N Whitley Dr
Fruitland, ID 83619-2434
Phone (208) 452-2672
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10036869 | OR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ancora Hospice & Palliative Services, LLC | Current | Accepting new patients | |
| Ancora Hospice & Palliative Services, LLC | Single Specialty | Current | Accepting new patients |
Locations
401 N Whitley Dr
Fruitland, ID 83619
Phone (208) 452-2672
808 N Whitley Dr
Fruitland, ID 83619
Phone (208) 452-2672
660 E Franklin Rd
Ste 140
Meridian, ID 83642
Phone (208) 992-2672
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ancora Health Services
- Hospice and Palliative Medicine (Family Medicine) Physician
- Meridian, ID
- NPI 1558079566
-
dba Ancora Health Services
- Community Based Hospice Care Agency
- Meridian, ID
- NPI 1558933440
Single Specialty
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Enhabit Home Health of Western Idaho
- Home Health Agency
- Fruitland, ID
- NPI 1003916230
-
dba St Lukes Meridian Medical Center
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
dba Saint Alphonsus Medical Center Ontario
- General Acute Care Hospital
- Ontario, OR
- NPI 1891891792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735776000000",
"number": "1144046301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 E FRANKLIN RD STE 140",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836422914",
"telephone_number": "208-992-2672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 E FRANKLIN RD STE 140",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836422914",
"telephone_number": "208-992-2672",
"fax_number": "877-569-2323"
}
],
"practiceLocations": [
{
"address_1": "808 N Whitley Dr",
"address_purpose": "LOCATION",
"city": "Fruitland",
"state": "ID",
"postal_code": "836192437",
"country_code": "US",
"telephone_number": "208-452-2672",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRIBERG",
"first_name": "ZACHARY",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-03",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OR",
"license": "10036869",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "1071540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.