Care Medical Housecalls PC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

CARE MEDICAL HOUSECALLS PC

Practice address

2040 E Holgate CT
Eagle, ID 83616

Phone

(208) 991-0145

NPI assigned

Mar 6, 2020

Last updated

Mar 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary RoehlingNPI 1437494457

Title

Nurse Practitioner / Owner

Phone

(208) 860-1398

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Beth Roehling

  • Family Nurse Practitioner
  • Eagle, ID
  • NPI 1437494457
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1730714049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1804",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "83616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 E HOLGATE CT",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "83616",
            "telephone_number": "208-991-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE MEDICAL HOUSECALLS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "ROEHLING",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER / OWNER",
        "authorized_official_telephone_number": "208-860-1398"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Reid Calhoun, PT, DPT
• Jennifer Brooke Camareno, MFT
• Isabelle Campbell
• Matthew R Candau, PT, DPT, MTC
• Jessica Brianne Capell, OTR/L
• Careconnectmd Idaho PC
• Caring Edge Op LLC
• Abigail Carnline
• Anne Carr
• Mason Carter, NP-C

• Primary Care Nurse Practitioner in Eagle, ID
• Providers in Eagle, ID by specialty
• Primary Care Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.