NPIMap

Organization Active NPI

Little Angels LLC

  • Physician Assistant
  • Idaho Falls, ID
National Provider Identifier
1437495041
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA334 Issued in ID
Legal business name
LITTLE ANGELS LLC
Practice address
1680 Woodruff Park
Idaho Falls, ID 83401-3330
Phone
(208) 346-2222
NPI assigned
Dec 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Authorized official

Name
Mrs. Lisa Cruz, RN
Title
Owner
Phone
(208) 346-2222

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X N38708 ID
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X M9188 ID
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X M9188 ID
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X PA334 ID Primary

Addresses

Primary practice location

1680 Woodruff Park
Idaho Falls, ID 83401-3330

Mailing address

1680 Woodruff Park
Idaho Falls, ID 83401-3330
Phone (208) 346-2222

National Provider Directory

National Provider Directory
Tax ID family
Little Angels4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

  • Little Angels
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Idaho Falls, ID
    • NPI 1235475849
    NPD tax ID
  • Little Angels

    dba N/a

    • Child & Adolescent Psychiatry Physician
    • Idaho Falls, ID
    • NPI 1336408632
    NPD tax ID
  • Little Angels
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Idaho Falls, ID
    • NPI 1942546510
    NPD tax ID

NPI Registry JSON

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1437495041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 WOODRUFF PARK",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013330",
            "telephone_number": "208-346-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 WOODRUFF PARK",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013330",
            "telephone_number": "208-346-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ANGELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-31",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-346-2222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "N38708",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ID",
            "license": "M9188",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "ID",
            "license": "M9188",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.