NPIMap

Organization Active NPI

Little Angels

  • Child & Adolescent Psychiatry Physician
  • Idaho Falls, ID
National Provider Identifier
1336408632
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
LITTLE ANGELS
Practice address
1680 Woodruff Park
Idaho Falls, ID 83401-3330
Phone
(208) 313-0711
NPI assigned
May 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Authorized official

Name
Mrs. Lisa Renea Cruz, RN
Title
Owner
Phone
(208) 313-0711

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X M-9188 ID
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X PA-334 ID

Addresses

Primary practice location

1680 Woodruff Park
Idaho Falls, ID 83401-3330

Mailing address

1680 Woodruff Park
Idaho Falls, ID 83401-3330
Phone (208) 313-0711

Other names 1

  • N/A Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Little Angels4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1680 Woodruff Park
Idaho Falls, ID 83401
Phone (208) 313-0711

NPI Registry JSON

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1336408632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 WOODRUFF PARK",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013330",
            "telephone_number": "208-313-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 WOODRUFF PARK",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013330",
            "telephone_number": "208-313-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ANGELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "RENEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-313-0711",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ID",
            "license": "M-9188",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-334",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.