Organization Active NPI

Pillar Health Care LLC

  • Nurse Practitioner
  • Pocatello, ID
National Provider Identifier
1326953944
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
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

Updated by the provider on Aug 18, 2026

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)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.