Active NPI
Robbie J Garrett, APRN-C
- Adult Medicine Physician
- Hayden, ID
National Provider Identifier
1144168931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 8381102
- Practice address
- 8827 N Government Way Unit 106
Hayden, ID 83835-8231 - Phone
- (208) 518-1168
- Fax
- (208) 518-1278
- NPI assigned
- Mar 23, 2026
- Last updated
- Jul 28, 2026
- Sex
- Female
- 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 | 8381102 | ID | |
| Adult Medicine Physician | 207QA0505X | 8381102 | ID | Primary |
Addresses
Primary practice location
8827 N Government Way Unit 106
Hayden, ID 83835-8231
Mailing address
PO Box 1021
Athol, ID 83801-6009
Phone (208) 251-2660
Other practice location 1
25 Jacobs Gulch Rd
Kellogg, ID 83837-2023
Phone (208) 784-1221
Other practice location 2
1800 Flandro Dr Ste 310
Pocatello, ID 83202-4942
Phone (208) 241-9942
Other names 1
- Roberta J Garrett
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8381102 | ID | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spark Med Spa, LLC | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1144168931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1021",
"city": "ATHOL",
"state": "ID",
"postal_code": "838016009",
"telephone_number": "208-251-2660",
"fax_number": "208-251-2660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8827 N GOVERNMENT WAY UNIT 106",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838358231",
"telephone_number": "208-518-1168",
"fax_number": "208-518-1278"
}
],
"practiceLocations": [
{
"address_1": "25 Jacobs Gulch Rd",
"address_purpose": "LOCATION",
"city": "Kellogg",
"state": "ID",
"postal_code": "838372023",
"country_code": "US",
"telephone_number": "208-784-1221",
"fax_number": "208-784-0961",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 Flandro Dr Ste 310",
"address_purpose": "LOCATION",
"city": "Pocatello",
"state": "ID",
"postal_code": "832024942",
"country_code": "US",
"telephone_number": "208-241-9942",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARRETT",
"first_name": "ROBBIE",
"middle_name": "J",
"credential": "APRN-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-23",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "8381102",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "ID",
"license": "8381102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERTA",
"last_name": "GARRETT",
"middle_name": "J",
"credential": "APRN-C",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hayden, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.