Active NPI
Arrow Functional Medicine, PLLC.
Doing business as Arrow Functional Medicine
- Family Nurse Practitioner
- Coeur d'Alene, ID
National Provider Identifier
1184552994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- ARROW FUNCTIONAL MEDICINE, PLLC.
- Doing business as
- Arrow Functional Medicine
- Practice address
- 2115 E Sherman Ave Ste 105
Coeur D Alene, ID 83814-5364 - Phone
- (208) 444-1218
- NPI assigned
- May 12, 2026
- Last updated
- May 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Tabaracci
- Title
- Chief Financial Officer
- Phone
- (406) 240-4099
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary | |
| Primary Care Nurse Practitioner | 363LP2300X | NU |
Addresses
Primary practice location
2115 E Sherman Ave Ste 105
Coeur D Alene, ID 83814-5364
Mailing address
2115 E Sherman Ave Ste 105
Coeur D Alene, ID 83814-5364
Phone (208) 444-1218
Other names 1
- Arrow Functional Medicine
National Provider Directory
National Provider DirectoryLocations
2115 E Sherman Ave
Ste 105
Coeur D Alene, ID 83814
Phone (208) 444-1218
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Coeur d'Alene, ID
- NPI 1184025371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778544000000",
"number": "1184552994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARROW FUNCTIONAL MEDICINE, PLLC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-12",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A",
"authorized_official_last_name": "TABARACCI",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "406-240-4099"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Arrow Functional Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 12, 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.