Active NPI
Shadow Peak LLC
- Infusion Therapy Clinic/Center
- Kuna, ID
National Provider Identifier
1649199571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Clinic/Center
- Legal business name
- SHADOW PEAK LLC
- Practice address
- 1495 W Fluorite St
Kuna, ID 83634-4894 - Phone
- (208) 916-8638
- NPI assigned
- Jul 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Paski
- Title
- Owner
- Phone
- (208) 916-8638
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Clinic/Center | 261QI0500X | Primary | ||
| Adult Companion | 372600000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Homemaker | 376J00000X |
Addresses
Primary practice location
1495 W Fluorite St
Kuna, ID 83634-4894
Mailing address
1495 W Fluorite St
Kuna, ID 83634-4894
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788566400000",
"number": "1649199571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1495 W FLUORITE ST",
"city": "KUNA",
"state": "ID",
"postal_code": "836344894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1495 W FLUORITE ST",
"city": "KUNA",
"state": "ID",
"postal_code": "836344894",
"telephone_number": "208-916-8638"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHADOW PEAK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-14",
"last_updated": "2026-09-05",
"certification_date": "2026-09-05",
"status": "A",
"authorized_official_last_name": "PASKI",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-916-8638"
},
"taxonomies": [
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": true
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kuna, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.