Organization Active NPI

Breath of Life Sleep Medicine PC

  • Sleep Medicine (Family Medicine) Physician
  • Coeur d'Alene, ID
National Provider Identifier
1144720061
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
Legal business name
BREATH OF LIFE SLEEP MEDICINE PC
Practice address
1717 Lincoln Way Ste 201
Coeur D Alene, ID 83814-2556
Phone
(208) 758-9699
Fax
(208) 758-8535
NPI assigned
Feb 16, 2018
Last updated
Sep 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Authorized official

Name
Mary Alice Elizabeth Jaeger, MDNPI 1477596534
Title
President
Phone
(208) 758-9699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) Physician 207QS1201X NU Primary

Addresses

Primary practice location

1717 Lincoln Way Ste 201
Coeur D Alene, ID 83814-2556

Mailing address

1717 Lincoln Way Ste 201
Coeur D Alene, ID 83814-2556
Phone (208) 699-7644

Other practice location 1

12410 E Sinto Ave Ste D
Spokane Valley, WA 99216-2199
Phone (509) 892-1313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180424001065 WA Part B Supplier - Clinic/Group Practice 9032472162 Receives reassigned benefits from 4 practitioners
Practice locations: Spokane Valley, WA
O20190102000029 ID Part B Supplier - Clinic/Group Practice 9032472162 Receives reassigned benefits from 1 practitioner
Practice locations: Coeur D Alene, ID

National Provider Directory

National Provider Directory

Locations

1717 Lincoln Way
Ste 201
Coeur D Alene, ID 83814
Phone (208) 664-6498

750 N Syringa St
Ste 201B
Post Falls, ID 83854
Phone (208) 758-9699

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1144720061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 LINCOLN WAY STE 201",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142556",
            "telephone_number": "208-699-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 LINCOLN WAY STE 201",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142556",
            "telephone_number": "208-758-9699",
            "fax_number": "208-758-8535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12410 E Sinto Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992162199",
            "country_code": "US",
            "telephone_number": "509-892-1313",
            "fax_number": "509-892-1515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BREATH OF LIFE SLEEP MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "JAEGER",
        "authorized_official_first_name": "MARY ALICE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-758-9699",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.