Treasure Valley Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

TREASURE VALLEY PEDIATRICS

Practice address

1620 S Celebration Ave
Meridian, ID 83642-2779

Phone

(208) 884-1030

Fax

(208) 884-3058

NPI assigned

Nov 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katie A Apple

Title

Administrator

Phone

(208) 884-1030

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Warm Springs Chilcl2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Treasure Valley Service Coordination

  • Pediatrics Physician
  • Meridian, ID
  • NPI 1164738134
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Treasure Valley Service Coordination

  • Pediatrics Physician
  • Meridian, ID
  • NPI 1164738134
  NPPES parent name

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396824512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 S CELEBRATION AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422779",
            "telephone_number": "208-884-1030",
            "fax_number": "208-884-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 S CELEBRATION AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422779",
            "telephone_number": "208-884-1030",
            "fax_number": "208-884-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE VALLEY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "APPLE",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-884-1030"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Treasure Valley Hospice LLC
• Treasure Valley Intervention
• Treasure Valley Nasal and Sinus Center, PLLC
• Treasure Valley Orthodontics
• Treasure Valley Pain Center, LLC
• Treasure Valley Return to Work LLC
• Treasure Valley Rheumatology PLLC
• Treasure Valley Service Coordination
• Treasure Valley Speech and Language, LLC
• Treasure Valley Urology PLLC

• Pediatrics Physician in Meridian, ID
• Providers in Meridian, ID by specialty
• Pediatrics Physician 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.