Timberline Health

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

TIMBERLINE HEALTH

Practice address

5 Ross Fork Rd
Pocatello, ID 83202-7044

Phone

(435) 650-2387

NPI assigned

Oct 13, 2026

Last updated

Oct 13, 2026By 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

Micah Duvall, FNP

Title

Owner

Phone

(435) 650-2387

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1336044965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ROSS FORK RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832027044",
            "telephone_number": "435-650-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ROSS FORK RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832027044",
            "telephone_number": "435-650-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLINE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "DUVALL",
        "authorized_official_first_name": "MICAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-650-2387",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Becky A. Ticknor, BS
• Debbie R. Tidwell, LSW
• Anne Tierney, LPC
• Lucas Dennis James Tierney
• Kelley Tillotson, R.N., BSN
• Timothy E. Snell, MD, PLLC
• Timothy J. Ramsden, M. D., P. C.
• Amanda Jane Tingey, M.S. CF-SLP
• Steven Joseph Todd, MD
• Andrew Toledo

• Primary Care Nurse Practitioner in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Primary Care Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.