Odila Conica

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

147 N 4090 E
Rigby, ID 83442-5888

Phone

(208) 745-9497

NPI assigned

Jun 25, 2008

Last updated

Jun 25, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• 4T Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Rigby, ID
  • NPI 1861693368
  NPD (past) Authorized official

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1225290901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 N 4090 E",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 N 4090 E",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425888",
            "telephone_number": "208-745-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONICA",
        "first_name": "ODILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807758200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Care PLLC
• Community Council of Idaho, Inc. (Community Family Clinic Pharmacy 340B)
• Community Council of Idaho, Inc. (Rigby Community Family Clinic)
• Community Council of Idaho, Inc. (Community Family Clinic)
• Community Council of Idaho, Inc. (Community Family Clinic Pharmacy Non-340B)
• Camille Moon Cook, MSW
• Cory Warner DDS, PLLC
• Ty Alan Cottle, PMHNP-BC
• Kayla Joe Crall, LMSW
• Ann Michele Craun, PH.D

• Durable Medical Equipment & Medical Supplies in Rigby, ID
• Providers in Rigby, ID by specialty
• Durable Medical Equipment & Medical Supplies in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.