NPIMap

Organization Active NPI

Alliance Family Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Coeur d'Alene, ID
National Provider Identifier
1649539156
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ALLIANCE FAMILY SERVICES
Practice address
1200 W Ironwood Dr
Ste. 101
Coeur D Alene, ID 83814-2660
Phone
(208) 664-9729
NPI assigned
May 4, 2012
Last updated
Jun 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Tracey Lange
Title
Owner
Phone
(208) 265-8195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

1200 W Ironwood Dr
Ste. 101
Coeur D Alene, ID 83814-2660

Mailing address

608 S Division Ave
Sandpoint, ID 83864-1749
Phone (208) 265-8195

National Provider Directory

National Provider Directory
Tax ID family
Alliance Family Services North Inc28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1649539156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 S DIVISION AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641749",
            "telephone_number": "208-265-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W IRONWOOD DR",
            "address_2": "STE. 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142660",
            "telephone_number": "208-664-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-04",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-265-8195"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.