Active NPI
Eric Fast, FNP
- Primary Care Nurse Practitioner
- Twin Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- NP-1692A
- Practice address
- 191 Addison Ave
Twin Falls, ID 83301-5177 - Phone
- (208) 944-0369
- NPI assigned
- Dec 2, 2015
- Last updated
- Oct 3, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP60627369 | WA | |
| Nurse Practitioner | 363L00000X | NP-1692A | ID | |
| Primary Care Nurse Practitioner | 363LP2300X | NP-1692A | ID | Primary |
Addresses
Primary practice location
191 Addison Ave
Twin Falls, ID 83301-5177
Mailing address
191 Addison Ave
Twin Falls, ID 83301-5177
Phone (208) 944-0369
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376918383 | Other | ID | IPN-IDAHO PHYSICIANS NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All About You Hormones and Wellness, PLLC | Current | Accepting new patients | |
| Molina Care Connections, LLC. | Nurse Practitioner | Current | Accepting new patients |
| Urgent Care of Idaho, LLC | Current | Accepting new patients | |
| River View Urgent Care & Medical Center Inc | Current | Accepting new patients | |
| Urgent Care of Idaho, LLC | Current | Accepting new patients |
Locations
200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666
950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689
382 N Overland Ave
Burley, ID 83318
Phone (208) 378-7700
191 Addison Ave
Twin Falls, ID 83301
Phone (208) 732-0700
2392 Addison Ave E
Twin Falls, ID 83301
Phone (208) 933-2050
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Burley, ID
- NPI 1790043693
-
dba Urgent Care of Jerome
- Urgent Care Clinic/Center
- Jerome, ID
- NPI 1538578687
-
dba All About You Hormones and Wellness
- Adult Health Nurse Practitioner
- Twin Falls, ID
- NPI 1053191379
-
dba Urgent Care of Idaho - Burley
- Urgent Care Clinic/Center
- Burley, ID
- NPI 1841972122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1376918383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 ADDISON AVE",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833015177",
"telephone_number": "208-944-0369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 ADDISON AVE",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833015177",
"telephone_number": "208-944-0369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAST",
"first_name": "ERIC",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-02",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60627369",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "NP-1692A",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "ID",
"license": "NP-1692A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IPN-IDAHO PHYSICIANS NETWORK",
"identifier": "1376918383",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.