Phoebe Terrill Fillmore

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4974 S Bittercreek Ave
Meridian, ID 83642-7970

Phone

(208) 870-3379

NPI assigned

Feb 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1710685656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 N TUPIZA AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836464808",
            "telephone_number": "626-497-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4974 S BITTERCREEK AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427970",
            "telephone_number": "208-870-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILLMORE",
        "first_name": "PHOEBE",
        "middle_name": "TERRILL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly D Ferguison, MD-PEDIATRICS
• Tamara Irene Ferrari, CADT 1
• Ethan A Ferrel, MD
• Kelsey Ferrell, DO
• Ashley Lorene Fielding, APRN
• Rebecca Finder, PHARMD
• Finding the Silver Lining
• Kristen Fiorentino, M.D.
• Anthony George Fioretti, DDS
• Tudor Firica, PHARMD

• Behavior Technician in Meridian, ID
• Providers in Meridian, ID by specialty
• Behavior Technician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.