Treasure Valley Advanced Concepts LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

TREASURE VALLEY ADVANCED CONCEPTS LLC

Practice address

210 Holly St
Nampa, ID 83686-5104

Phone

(208) 573-1576

NPI assigned

May 24, 2016

Last updated

May 24, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tammy Louise Gusman, BA

Title

Owner

Phone

(208) 573-1576

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1518314145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 HOLLY ST",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836865104",
            "telephone_number": "208-573-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 HOLLY ST",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836865104",
            "telephone_number": "208-573-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE VALLEY ADVANCED CONCEPTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "GUSMAN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-573-1576",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jolynn Tracy, CADC
• Celine D Tran, DO
• Transformed Mind and Body LLC
• Transitions Developmental Agency
• Cara Ann Travis
• Treasure Valley Case Management, LLC
• Treasure Valley Counseling and Wellness PLLC
• Treasure Valley Emergency Physicians
• Treasure Valley Fertility Center LLC
• Treasure Valley Gastroenterology Specialists Inc

• Case Management Agency in Nampa, ID
• Providers in Nampa, ID by specialty
• Case Management Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.