Tara Arocho, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Chubbuck, ID
NPI 1649952953 · NPPES record last updated Aug 4, 2023
Key facts
- NPI
- 1649952953
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 58704 (ID)
- Practice address
- 4650 Hawthorne Rd Ste 3B
Chubbuck, ID 83202-2376 - Phone
- (208) 252-5621
- NPI assigned
- Aug 4, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Canvi Behavioral Health PLLC
Practice addresses (Care Compare)
4650 Hawthorne Rd
Suite 3B
Chubbuck, ID 83202-2376
Phone (208) 252-5621
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231002001924 | ID | Practitioner - Nurse Practitioner | 9830543354 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canvi Behavioral Health PLLC | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
4650 Hawthorne Rd
Ste 3B
Pocatello, ID 83202
Phone (208) 237-9833
1120 Stocks Ave
Ste B
Rexburg, ID 83440
407 W 1st N
Rexburg, ID 83440
Phone (208) 356-6555
600 Shanafelt St
Salmon, ID 83467
Phone (208) 756-8391
476 Heritage Park Blvd
Ste 230
Layton, UT 84041
Phone (801) 896-5345
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 58704 | ID | Yes |
Addresses
Primary practice location
4650 Hawthorne Rd Ste 3B
Chubbuck, ID 83202-2376
Mailing address
4650 Hawthorne Rd Ste 3B
Chubbuck, ID 83202-2376
Phone (208) 252-5621
Other providers in Chubbuck, ID
- Benjamin Anderson
- Taylor Anna Anderson
- Trinity Anderson
- Randall Apgood
- Apria Healthcare LLC
- Ashley Manor, LLC
- Matthew W Ashton
- Auralcare Hearing Centers of America, LLC
- David Averill
- Samantha JD Baab
All providers in Chubbuck, ID · Psychiatric/Mental Health Nurse Practitioner in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.