Anne Marie Omalley-Neuhaus, N.P.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

NP-927A Issued in ID

Practice address

120 East Howard Avenue
Teton Valley Health Care
Driggs, ID 83422-5112

Phone

(208) 354-6302

Fax

(208) 354-3158

NPI assigned

Jun 20, 2007

Last updated

Dec 13, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Anne Marie Omalley Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Teton Valley Health Care Inc

  dba Driggs Clinic

  • Rural Health Clinic/Center
  • Driggs, ID
  • NPI 1013264183

  Family

  Medicare reassignment NPD
• Teton Valley Health Care, Inc

  dba Teton Valley Health Care Swing Bed Unit

  • Medicare Defined Swing Bed Hospital Unit
  • Driggs, ID
  • NPI 1053669598
  NPD
• Teton Valley Health Care, Inc

  dba Victor Clinic

  • Rural Health Clinic/Center
  • Victor, ID
  • NPI 1801143029
  NPD
• Medical Imaging Associates of Idaho Falls, Inc

  • Diagnostic Radiology Physician
  • Pocatello, ID
  • NPI 1740225531
  NPD (past)
• Teton Valley Health Care Inc

  dba Teton Valley Health Care

  • Critical Access Hospital
  • Driggs, ID
  • NPI 1477809622
  NPD (past)
• Palekar and Associates, P.a.

  • Internal Medicine Physician
  • Lewes, DE
  • NPI 1356415210
  NPD (past)

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1447455217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EAST HOWARD AVENUE",
            "address_2": "TETON VALLEY HEALTH CARE",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834225112",
            "telephone_number": "208-354-6302",
            "fax_number": "208-354-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EAST HOWARD AVENUE",
            "address_2": "TETON VALLEY HEALTH CARE",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834225112",
            "telephone_number": "208-354-6302",
            "fax_number": "208-354-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMALLEY-NEUHAUS",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000374",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "NP-927A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "OMALLEY",
            "middle_name": "MARIE",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Taylor Keller Nelson, CRNA
• Rachel Newcomb, PHARMD
• Lyudmyla Norgart, NP-C
• Kristin Obert, DPT
• Occupational Therapy Unlimited, LLC
• Julia Pansewicz
• Rebecca A. Park, LMT, NCTMB
• Mackenzie Wilson Parkhill, DPT
• Louis J Parri, CSWP
• Peaks to Plains Therapy Services, PA (Peaks to Plains Therapy)

• Emergency Medicine Physician in Driggs, ID
• Providers in Driggs, ID by specialty
• Emergency Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.