Vanishing Veins of Idaho

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

VANISHING VEINS OF IDAHO

Practice address

1859 N Lakewood Dr
Suite 303
Coeur D Alene, ID 83814-2661

Phone

(208) 292-1411

Fax

(208) 292-0262

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Amy Garcia

Title

Director of Operations

Phone

(208) 292-1411

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306051081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1859 N LAKEWOOD DR",
            "address_2": "SUITE 303",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142661",
            "telephone_number": "208-292-1411",
            "fax_number": "208-292-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1859 N LAKEWOOD DR",
            "address_2": "SUITE 303",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142661",
            "telephone_number": "208-292-1411",
            "fax_number": "208-292-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANISHING VEINS OF IDAHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "208-292-1411",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Vancleave, DO
• Kortni Vandinter
• Belinda Vanditto
• Thomas R Vanfossen, LMFT
• Robin Elizabeth Bradbury Vanhouten, O.T.R./L.
• Adam Lee Vanschelt, P.A.-C.
• Elaina Vasquez
• Zachary Lee Vaughan, LCSW
• Adam David Vaughn
• Glenn Vaughn, LCPC

• Specialist in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.