Sunshine Telemedicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SUNSHINE TELEMEDICINE

Practice address

805 Jefferson Ave
Pocatello, ID 83201-3625

Phone

(208) 238-0400

Fax

(208) 238-0401

NPI assigned

Nov 6, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Natalie Ann Johnson

Title

Manager

Phone

(208) 313-2273

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1636156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1558026302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 JEFFERSON AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013625",
            "telephone_number": "208-238-0400",
            "fax_number": "208-238-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 JEFFERSON AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013625",
            "telephone_number": "208-238-0400",
            "fax_number": "208-238-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE TELEMEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-06",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-313-2273",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry A Summers, M.S., CCC-A
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• Summit View Wellness Services, LLC
• Jonghun Sung
• Sunlight Health & Wellness Inc
• Super Save Drug
• Super Save Drug, Inc
• Super Save Highland Pharmacy
• Super Save Highland Pharmacy
• Superior Physical Therapy

• Family Medicine Physician in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.