Shining Lite Weight Management & Personal Solutions, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SHINING LITE WEIGHT MANAGEMENT & PERSONAL SOLUTIONS, LLC

Practice address

4483 N Dresden PL Ste 102
Garden City, ID 83714-5092

Phone

(208) 639-2333

Fax

(208) 957-5769

NPI assigned

May 23, 2019

Last updated

Jun 11, 2019By 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

Tamara F Bethel, DNP, APRN, FNPNPI 1538175757

Title

Member/Provider

Phone

(208) 639-2333

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Tamara Faye Bethel, FNP

  • Family Nurse Practitioner
  • Boise, ID
  • NPI 1538175757
  NPD Authorized official

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1326605429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 W ATWATER DR",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "837141299",
            "telephone_number": "208-559-4597",
            "fax_number": "208-957-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4483 N DRESDEN PL STE 102",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "837145092",
            "telephone_number": "208-639-2333",
            "fax_number": "208-957-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING LITE WEIGHT MANAGEMENT & PERSONAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "BETHEL",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEMBER/PROVIDER",
        "authorized_official_telephone_number": "208-639-2333",
        "authorized_official_credential": "DNP, APRN, FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunny Marie Rourke, MS, LPC, LAC, NCC
• Michael Roybal
• Jody Sacia, MA
• David Sauter, PHARMD
• Romina Marie Schnelle
• Spek Diagnostics, Inc
• Sterling Provider Group
• Terrence A Stoll, M.D.
• Sunsetreshab
• Sunsetreshab

• Family Nurse Practitioner in Garden City, ID
• Providers in Garden City, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.