Organization Active NPI

Breathe Airway Myo, LLC

  • Nurse Practitioner
  • Meridian, ID
National Provider Identifier
1326727967
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
BREATHE AIRWAY MYO, LLC
Practice address
6500 N Linder Rd Unit 106
Meridian, ID 83646-6702
Phone
(208) 261-2318
NPI assigned
Jul 12, 2023
Last updated
Jul 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Dr. John K McRae, NPNPI 1750838504
Title
Managing Member
Phone
(208) 484-5702

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

6500 N Linder Rd Unit 106
Meridian, ID 83646-6702

Mailing address

6500 N Linder Rd Unit 106
Meridian, ID 83646-6702
Phone (208) 261-2318

National Provider Directory

National Provider Directory

Locations

6500 N Linder Rd
Unit 106
Meridian, ID 83646
Phone (208) 261-2318

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1326727967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 N LINDER RD UNIT 106",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466702",
            "telephone_number": "208-261-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 N LINDER RD UNIT 106",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466702",
            "telephone_number": "208-261-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATHE AIRWAY MYO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "MCRAE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "208-484-5702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.