Ferdinand Nyabenda

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Practice address

3710 N Centrepoint Way Unit M101
Meridian, ID 83646-3726

Phone

(208) 936-0670

NPI assigned

Jul 12, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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 and National Provider Directory roles.

• 4Maple Haven

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1497627640
  NPD Authorized official
• 4Maple Haven

  • Case Management Agency
  • Boise, ID
  • NPI 1912873209
  NPD Authorized official

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1275212730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3423 N CENTREPOINT WAY UNIT T101",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466735",
            "telephone_number": "208-936-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 N CENTREPOINT WAY UNIT M101",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836463726",
            "telephone_number": "208-936-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYABENDA",
        "first_name": "FERDINAND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-12",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nutrition by Design, LLC
• Nutrition Specialists
• Nvelup Idaho Corp
• Nvelup Idaho Corp
• Nvelup Idaho Corp
• Stephanie Nyland
• Sophia Nyswyn, PA
• Jacob Colin O'Dell, MD
• Thomas E O'Mara, MD
• Brian Christopher O'Neal, D.P.T., A.T.C

• Case Management Agency in Meridian, ID
• Providers in Meridian, ID by specialty
• Case Management Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.