NPIMap

Organization Active NPI

LB Medical Consultants

Doing business as H3OWellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Twin Falls, ID
National Provider Identifier
1558943779
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LB MEDICAL CONSULTANTS
Doing business as
H3OWellness
Practice address
704 2ND Ave N
Twin Falls, ID 83301-5746
Phone
(208) 207-9422
NPI assigned
Apr 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Nicole Bartlett, DNP, AGACNP, PHMNPNPI 1699055491
Title
Owner
Phone
(559) 681-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

704 2ND Ave N
Twin Falls, ID 83301-5746

Mailing address

704 2ND Ave N
Twin Falls, ID 83301-5746
Phone (559) 681-6000

Other practice location 1

560 Shoup Ave W
Twin Falls, ID 83301-5029
Phone (208) 734-0407

Other names 1

  • H3OWellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230628003552 ID Part B Supplier - Clinic/Group Practice 2668831371 Receives reassigned benefits from 2 practitioners
2 other NPIs on this enrollment
Practice locations: Burley, ID; Twin Falls, ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
LB Medical Consultants4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

32 S 150 E
Burley, ID 83318
Phone (208) 207-9422

560 Shoup Ave W
Twin Falls, ID 83301
Phone (208) 737-2126

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1558943779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 2ND AVE N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015746",
            "telephone_number": "559-681-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 2ND AVE N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015746",
            "telephone_number": "208-207-9422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 Shoup Ave W",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833015029",
            "country_code": "US",
            "telephone_number": "208-734-0407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LB MEDICAL CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "BARTLETT",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-681-6000",
        "authorized_official_credential": "DNP, AGACNP, PHMNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H3OWellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "H3OWellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.