Pinecrest Academy of Idaho

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

PINECREST ACADEMY OF IDAHO

Practice address

209 5TH Ave N
Twin Falls, ID 83301-6141

Phone

(208) 944-2129

NPI assigned

Sep 28, 2020

Organization subpart

No

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

Authorized official

Name

Trevor Goodsell

Title

Cfo

Phone

(702) 431-6260

Specialties & licenses 1

Addresses

Other names 1

• Pinecrest Academy of Idaho Doing business as

Locations

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1366059933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 SURREY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193928",
            "telephone_number": "702-431-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 5TH AVE N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016141",
            "telephone_number": "208-944-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINECREST ACADEMY OF IDAHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "GOODSELL",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "702-431-6260"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinecrest Academy of Idaho",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Physician Center a Professional Company Mid Level
• Physicians Immediate Care of Twin Falls PA
• Donald G Pica, M.D.
• Abbey Pickett, CF-SLP
• Cory A Pilling, DPM
• Gina Griffiths Piper, PHD CCC-SLP
• Jonathan B Pittard, PA-C
• Rachel Dawn Pizano, RC
• Ethan Plager
• Mark A Plant, DDS, PA

• Local Education Agency (LEA) in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Local Education Agency (LEA) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.