Individual provider Active NPI

Nikole Arrotta Tabaracci, ARNP

  • Family Nurse Practitioner
  • Coeur d'Alene, ID
National Provider Identifier
1184025371
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60466098 Issued in WA
Practice address
2115 E Sherman Ave Ste 105
Coeur D Alene, ID 83814-5364
Phone
(208) 444-1218
Fax
(208) 620-2410
NPI assigned
Sep 8, 2014
Last updated
May 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60466098 WA Primary

Addresses

Primary practice location

2115 E Sherman Ave Ste 105
Coeur D Alene, ID 83814-5364

Mailing address

8382 N Wayne Dr Ste 204
Hayden, ID 83835-6028
Phone (208) 635-5265

Other practice location 1

425 California St Ste 1400
San Francisco, CA 94104-2116
Phone (831) 484-7713

Other practice location 2

8382 N Wayne Dr Ste 204
Hayden, ID 83835-6028
Phone (208) 635-5265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 14, 2024 through Mar 14, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP60466098WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arrow Functional Medicine, PLLC. Family Current Accepting new patients
Functional Medicine of North Idaho, PLLC CurrentSince Jul 7, 2024 Accepting new patients

Locations

2115 E Sherman Ave
Ste 105
Coeur D Alene, ID 83814
Phone (208) 444-1218

8382 N Wayne Dr
Ste 204
Hayden, ID 83835
Phone (208) 635-5265

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.

NPI Registry JSON

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1184025371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8382 N WAYNE DR STE 204",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838356028",
            "telephone_number": "208-635-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 E SHERMAN AVE STE 105",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838145364",
            "telephone_number": "208-444-1218",
            "fax_number": "208-620-2410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 California St Ste 1400",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941042116",
            "country_code": "US",
            "telephone_number": "831-484-7713",
            "fax_number": "650-360-0447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8382 N Wayne Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Hayden",
            "state": "ID",
            "postal_code": "838356028",
            "country_code": "US",
            "telephone_number": "208-635-5265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABARACCI",
        "first_name": "NIKOLE",
        "middle_name": "ARROTTA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60466098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.