Individual provider Active NPI

Teri Renee Rouse, FNP-C

  • Family Nurse Practitioner
  • Coeur d'Alene, ID
National Provider Identifier
1447716659
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
60590 Issued in ID
Practice address
6190 N Sunshine St Ste E
Coeur D Alene, ID 83815-8697
Phone
(208) 719-0311
NPI assigned
Feb 12, 2019
Last updated
Mar 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 60590 ID Primary

Addresses

Primary practice location

6190 N Sunshine St Ste E
Coeur D Alene, ID 83815-8697

Mailing address

6190 N Sunshine St Ste E
Coeur D Alene, ID 83815-8697
Phone (208) 719-0311

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190508000281 ID Practitioner - Nurse Practitioner 6507108701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cinch Health PLLCGroup PAC ID 6608285838, 2 clinicians

Practice addresses (Care Compare)

6190 N Sunshine St
Suite E
Coeur D Alene, ID 83815-8697

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
60590IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cinch Health PLLC Family CurrentSince Apr 14, 2021 Accepting new patients

Locations

6190 N Sunshine St
Ste E
Coeur D Alene, ID 83815
Phone (208) 691-4569

14775 N Kimo Ct
Ste B
Rathdrum, ID 83858
Phone (208) 687-5627

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1447716659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6190 N SUNSHINE ST STE E",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158697",
            "telephone_number": "208-719-0311",
            "fax_number": "208-719-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6190 N SUNSHINE ST STE E",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158697",
            "telephone_number": "208-719-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSE",
        "first_name": "TERI",
        "middle_name": "RENEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "60590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.