Individual provider Active NPI

Tabetha McHail

  • Family Nurse Practitioner
  • Caldwell, ID
National Provider Identifier
1659031193
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TEMP54497 Issued in ID
Practice address
2621 Stoll CT
Caldwell, ID 83607-5054
Phone
(208) 899-7119
NPI assigned
Dec 25, 2021
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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 TEMP54497 ID Primary

Addresses

Primary practice location

2621 Stoll CT
Caldwell, ID 83607-5054

Mailing address

2621 Stoll CT
Caldwell, ID 83607-5054
Phone (208) 899-7119

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
I20220209000974 ID Practitioner - Nurse Practitioner 5294128575 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carepoint Health Emergency Medicine Idaho PLLCGroup PAC ID 6406283860, 14 clinicians
West Valley Medical Associates IncGroup PAC ID 9931467289, 28 clinicians

Practice addresses (Care Compare)

1717 Arlington Ave
Caldwell, ID 83605-4802
Phone (208) 459-4641

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TEMP54497IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Valley Medical Associates Inc CurrentSince Apr 1, 2022 Accepting new patients
Carepoint Health Emergency Medicine Idaho, PLLC Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Bloom Idaho LLC Current Accepting new patients

Locations

6965 N Glenwood St
Boise, ID 83714
Phone (208) 853-3000

1717 Arlington Ave
Caldwell, ID 83605
Phone (208) 455-3719

1906 Fairview Ave
Caldwell, ID 83605
Phone (208) 385-3680

3080 E Gentry Way
Ste 100
Meridian, ID 83642
Phone (208) 810-2318

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1640390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1659031193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 STOLL CT",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836075054",
            "telephone_number": "208-899-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 STOLL CT",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836075054",
            "telephone_number": "208-899-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHAIL",
        "first_name": "TABETHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-25",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "TEMP54497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.