Active NPI
Maribel Torres, RN
- Registered Nurse
- Pocatello, ID
National Provider Identifier
1306659867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 55074
- Practice address
- 1056 S Main St
Pocatello, ID 83204-3553 - Phone
- (208) 851-3454
- NPI assigned
- Jan 29, 2025
- Last updated
- Jan 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 55074 | ID | Primary |
| Ambulatory Care Registered Nurse | 163WP2201X | 55074 | ID |
Addresses
Primary practice location
1056 S Main St
Pocatello, ID 83204-3553
Mailing address
1554 Shasta St
Pocatello, ID 83201-2249
Phone (208) 851-3454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1056 S Main St
Pocatello, ID 83204-3553
Phone (208) 851-3454
1554 Shasta St
Pocatello, ID 83201-2249
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55074 | ID | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond the Scars LLC | Registered Nurse | Current | Accepting new patients |
Locations
1056 S Main St
Pocatello, ID 83204
Phone (208) 851-3454
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1306659867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1554 SHASTA ST",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832012249",
"telephone_number": "208-851-3454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1056 S MAIN ST",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832043553",
"telephone_number": "208-851-3454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "MARIBEL",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-29",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ID",
"license": "55074",
"primary": true
},
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "ID",
"license": "55074",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.