Phoebe Ackart Uricchio, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

TEMP65706 Issued in ID

Practice address

2609 S 10TH Ave
Caldwell, ID 83605-6816

Phone

(208) 454-2766

NPI assigned

Sep 11, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lifeways, Inc

  • Community/Behavioral Health Agency
  • Ontario, OR
  • NPI 1568558955

  ID

  Medicare reassignment NPD
• Boise State Health Center

  • Student Health Clinic/Center
  • Boise, ID
  • NPI 1194865444
  NPD (past)

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1407461817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 S 10TH AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836056816",
            "telephone_number": "208-454-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 S 10TH AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836056816",
            "telephone_number": "208-454-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URICCHIO",
        "first_name": "PHOEBE",
        "middle_name": "ACKART",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "TEMP65706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uniat Dentistry Inc
• Brooks Joseph Uniat, DDS
• Unified Supports of Idaho LLC
• Olivia Marie Upson
• Paige Upson
• Cynthia Usog, R.N.
• Blanca America Valadez
• Michelle J Valdez, LSW
• Kristina Valero, LMSW
• Vallivue School District #139

• Family Nurse Practitioner in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.

Verify at the official NPI Registry.