Richard M McConkie Jr., NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP 1302 A Issued in ID

Practice address

4740 N Penngrove Way
Meridian, ID 83646-7443

Phone

(208) 514-0203

NPI assigned

Jul 9, 2013

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19555/brand/1/csg/1/fhir/r4

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.

• Caldwell Internal Medicine Professional Association

  • Internal Medicine Physician
  • Caldwell, ID
  • NPI 1649225616
  NPD (past)
• Thrive Pediatrics, LLC

  • Pediatrics Physician
  • Meridian, ID
  • NPI 1669934220
  NPD (past)
• West Valley Medical Group Specialty Services LLC

  • Obesity Medicine (Obstetrics & Gynecology) Physician
  • Caldwell, ID
  • NPI 1245659093
  NPD (past)

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1457792277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277976",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303847976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 N PENNGROVE WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836467443",
            "telephone_number": "208-514-0203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3090 E Gentry Way Ste 210",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836423550",
            "country_code": "US",
            "telephone_number": "208-514-0203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1435 E Phenomenal St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836421057",
            "country_code": "US",
            "telephone_number": "208-514-0203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCONKIE",
        "first_name": "RICHARD",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-09",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP 1302 A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn McClelland, MSW
• Melissa Brianne McClenahan, PA-C
• Allyson Keri McClintock
• Matthew Scott McClure, PHARMD.
• Teresa McClure, LPC
• Shannon McConnaughey, M.D.
• Christian McCord, RPSGT
• Dana Marie McCord, CRT
• James McCord
• Hailey McCormick, MA, LPC, NCC

• Nurse Practitioner in Meridian, ID
• Providers in Meridian, ID by specialty
• Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.