Nphalanx LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NPHALANX LLC

Practice address

1201 Falls Ave E Ste 25
Twin Falls, ID 83301-3464

Phone

(412) 932-5372

NPI assigned

Feb 23, 2019

Organization subpart

No

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

Authorized official

Name

Phebe Simmons

Title

Am

Phone

(209) 815-8468

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• NPHALANX Home Health Doing business as
• Nphalanx Behavioral Health Doing business as

Locations

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

{
    "created_epoch": "1550880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1356808653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 PICTURE DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152364533",
            "telephone_number": "412-932-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 FALLS AVE E STE 25",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013464",
            "telephone_number": "412-932-5372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 E 4500 S Ste B22",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841072776",
            "country_code": "US",
            "telephone_number": "412-932-5372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NPHALANX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-23",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "PHEBE",
        "authorized_official_title_or_position": "AM",
        "authorized_official_telephone_number": "209-815-8468"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAAHO CERTIFICATE OF REGISTRATION",
            "identifier": "4150053",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FICTITIOUS NAME REGISTRATION",
            "identifier": "6834147",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NPHALANX Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nphalanx Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dustin Tsuyoshi Nukaya, DC
• Minta Marie Nutt
• Dawn Marie Nutting, CADC, CRCS
• Lori Ann O'Dell, RPH
• Briana O'Donnell, FNP-C

• Community/Behavioral Health Agency in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.