Aviva Northwest, PLLC

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

Legal business name

AVIVA NORTHWEST, PLLC

Practice address

301 N 1St St Apt 416
Coeur D Alene, ID 83814-2845

Phone

(509) 688-6023

Fax

(509) 231-7045

NPI assigned

Dec 31, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Taylor, DPHNPI 1730177833

Title

Owner

Phone

(509) 385-1290

Specialties & licenses 1

Addresses

Other names 1

• Aviva Northwest Doing business as

Practitioners 1

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

• Jennifer Anne Taylor, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Spokane Valley, WA
  • NPI 1730177833
  NPD Authorized official

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745020800000",
    "number": "1225847643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N 1ST ST APT 416",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142845",
            "telephone_number": "509-868-6023",
            "fax_number": "509-231-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 1ST ST APT 416",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142845",
            "telephone_number": "509-688-6023",
            "fax_number": "509-231-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIVA NORTHWEST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-31",
        "last_updated": "2025-04-19",
        "certification_date": "2025-04-19",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-385-1290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aviva Northwest",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aviva Northwest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Joscelyn Averette
• Lucinda L Avriett, OTR
• Tara Dawn Avriett, ARNP
• Stephen F Ayers, CRNA
• B Beville and Associates, LLC
• Kathryn Ann Fabular Bacani, PT

• All providers in Coeur D Alene, ID
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2025; 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.