Organization Active NPI

Arrow Functional Medicine, PLLC.

Doing business as Arrow Functional Medicine

  • Family Nurse Practitioner
  • Coeur d'Alene, ID
National Provider Identifier
1184552994
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.