Individual provider Active NPI

Noemi Rivas Briones, FNP-C

  • Family Nurse Practitioner
  • Idaho Falls, ID
National Provider Identifier
1619657020
Registry record updated Sep 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
61676 Issued in ID
Practice address
2100 Alan St
Idaho Falls, ID 83404-5801
Phone
(208) 528-7655
NPI assigned
Jul 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 61676 ID Primary

Addresses

Primary practice location

2100 Alan St
Idaho Falls, ID 83404-5801

Mailing address

921 S 8TH Ave
Pocatello, ID 83209-0002
Phone (208) 282-4636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240604001826 ID Practitioner - Nurse Practitioner 1456893619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Council of Idaho, Inc.Group PAC ID 6204877467, 18 clinicians

Practice addresses (Care Compare)

4002 E 397
Rigby, ID 83442-5456
Phone (208) 228-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
61676IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Council of Idaho, Inc Current Accepting new patients
Community Council of Idaho, Inc. CurrentSince Mar 11, 2024 Accepting new patients
Community Council of Idaho, Inc. Past Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc PastSince Jul 23, 2023 Accepting new patients

Locations

1491 Parkway Dr
Blackfoot, ID 83221
Phone (208) 435-2379

2100 Alan St
Idaho Falls, ID 83404
Phone (208) 470-7979

4002 E 397 N
Rigby, ID 83442
Phone (208) 228-2200

4002 E 397 N
Ste 3
Rigby, ID 83442
Phone (208) 228-2200

Interoperability endpoints

  • Direct secure messaging: noemi.rivas.briones.1@16437.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694304000000",
    "number": "1619657020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 S 8TH AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832090002",
            "telephone_number": "208-282-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 ALAN ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045801",
            "telephone_number": "208-528-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS BRIONES",
        "first_name": "NOEMI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-09-10",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "61676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.