Nvelup Idaho Corp

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

Legal business name

NVELUP IDAHO CORP

Practice address

3597 E Monarch Sky LN Ste 240-8464
Meridian, ID 83646-1053

Phone

(206) 207-2950

NPI assigned

Dec 29, 2023

Organization subpart

No

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

Authorized official

Name

Troy Di Lello

Title

President

Phone

(509) 242-9202

Specialties & licenses 1

Addresses

Other names 1

• NVelUp New Mexico Doing business as

Tax ID family

Nvelup Idaho Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Nvelup Idaho Corp

  • Psychiatric/Mental Health Registered Nurse
  • Meridian, ID
  • NPI 1235908369
  NPD tax ID

Locations

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1598534620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7221",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949557221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3597 E MONARCH SKY LN STE 240-8464",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461053",
            "telephone_number": "206-207-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NVELUP IDAHO CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "DI LELLO",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-242-9202"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NVelUp New Mexico",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Numedahl, RN
• Nutrition by Design, LLC
• Nutrition Specialists
• Nvelup Idaho Corp
• Nvelup Idaho Corp
• Ferdinand Nyabenda
• Stephanie Nyland
• Sophia Nyswyn, PA
• Jacob Colin O'Dell, MD
• Thomas E O'Mara, MD

• Psychiatric/Mental Health Registered Nurse in Meridian, ID
• Providers in Meridian, ID by specialty
• Psychiatric/Mental Health Registered Nurse in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.