Spear TMS

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SPEAR TMS

Practice address

9321 N Government Way Ste E
Hayden, ID 83835-8263

Phone

(208) 502-2744

Fax

(208) 635-0135

NPI assigned

Mar 15, 2022

Organization subpart

No

Name

Nicole Parquette, PA-CNPI 1841618501

Title

Owner

Phone

(208) 619-9270

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

• Nicole Marie Parquette, PA-C

  • Physician Assistant
  • Hayden, ID
  • NPI 1841618501
  NPD Authorized official

Locations

• North Idaho TMS Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 15, 2022.

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1164170486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9321 N GOVERNMENT WAY STE E",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358263",
            "telephone_number": "208-502-2744",
            "fax_number": "208-635-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9321 N GOVERNMENT WAY STE E",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358263",
            "telephone_number": "208-502-2744",
            "fax_number": "208-635-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEAR TMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "PARQUETTE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-619-9270",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841618501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598779746",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Idaho TMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachelle Smotherman, LPC
• Troy David Soenen
• Sonny Physical Therapy, LLC
• Robert A Sorensen, O.D.
• Spark Med Spa, LLC
• Crystal Lynn Spencer, LMT
• Amy Lynn Spoelstra, D.C.
• State of Idaho
• Valerie Steinhoff
• Laura Handyside Steininger, DPT

• All providers in Hayden, ID
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.