Neuropathy Clinic L.L.C.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

N6485 Issued in HI

Legal business name

NEUROPATHY CLINIC L.L.C.

Practice address

401 7TH St
Wallace, ID 83873-2335

Phone

(208) 752-1019

Fax

(208) 752-1063

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Marianne Alice Hull, REGISTERED NURSE

Title

Director

Phone

(208) 682-2547

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Faletto, PT

  • Physical Therapist
  • Coeur D Alene, ID
  • NPI 1952594574
  NPD (past)

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366648487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 CYPRESS ST",
            "city": "WALLACE",
            "state": "ID",
            "postal_code": "838732122",
            "telephone_number": "208-682-2547",
            "fax_number": "208-752-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 7TH ST",
            "city": "WALLACE",
            "state": "ID",
            "postal_code": "838732335",
            "telephone_number": "208-752-1019",
            "fax_number": "208-752-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPATHY CLINIC L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HULL",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "208-682-2547",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "HI",
            "license": "N6485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dick L Vester, O.D.

• All providers in Wallace, ID
• Case Manager/Care Coordinator in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.