Active NPI
Pillar Health Care LLC
- Nurse Practitioner
- Pocatello, ID
National Provider Identifier
1326953944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- PILLAR HEALTH CARE LLC
- Practice address
- 611 Wilson Ave Ste 5C
Pocatello, ID 83201-5046 - Phone
- (208) 520-4221
- NPI assigned
- Aug 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Prestigiacomo, NP
- Title
- Owner
- Phone
- (208) 520-4221
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
611 Wilson Ave Ste 5C
Pocatello, ID 83201-5046
Mailing address
611 Wilson Ave Ste 5C
Pocatello, ID 83201-5046
National Provider Directory
National Provider DirectoryLocations
611 Wilson Ave
Ste 5C
Pocatello, ID 83201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787011200000",
"number": "1326953944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 WILSON AVE STE 5C",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832015046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 WILSON AVE STE 5C",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832015046",
"telephone_number": "208-520-4221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PILLAR HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-18",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A",
"authorized_official_last_name": "PRESTIGIACOMO",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-520-4221",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"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 Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.