Mind and Body Restored

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

MIND AND BODY RESTORED

Practice address

913 W Canfield Ave
Coeur D Alene, ID 83815-9764

Phone

(208) 957-7808

Fax

(949) 695-2456

NPI assigned

Apr 10, 2023

Last updated

Dec 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jana Quall, NP

Title

NP

Phone

(208) 957-7808

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

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.

• Desiree Hart, NP-BC

  • Nurse Practitioner
  • Coeur d'Alene, ID
  • NPI 1336888478

  Pain Medicine

  Medicare reassignment Care Compare group NPD
• Jana M Qualls, FNP

  • Family Nurse Practitioner
  • Coeur d'Alene, ID
  • NPI 1083670889
  Medicare reassignment Care Compare group NPD
• Holly E Murray, FNP

  • Family Nurse Practitioner
  • Coeur d'Alene, ID
  • NPI 1831677681
  Medicare reassignment Care Compare group
• Jill Marie White, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Coeur d'Alene, ID
  • NPI 1073837472
  Medicare reassignment NPD

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1295420651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 W AUGUSTIN DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838155362",
            "telephone_number": "208-957-7808",
            "fax_number": "949-695-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 W CANFIELD AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159764",
            "telephone_number": "208-957-7808",
            "fax_number": "949-695-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND AND BODY RESTORED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "QUALL",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "208-957-7808",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William H Miller Jr., MD
• Robert Cathie Milligan, M.D.
• Adam Kenneth Mills, DC
• Hollie Mills
• Travis James Mills
• Mind Matters LLC
• Mindful Recovery Services PLLC
• Mindful Thoughts
• Mindset Wellness LLP
• Mindset Wellness PLLC

• Pain Medicine Physician in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Pain Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.