Renee Mottoh, DNP-FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6961760 Issued in ID

Practice address

1621 N 3Rd St Ste 850
Coeur D Alene, ID 83814-3326

Phone

(208) 992-4184

NPI assigned

Jul 9, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Odyssey Healthcare Operating B, LP

  • Community Based Hospice Care Agency
  • Coeur D Alene, ID
  • NPI 1225487648
  NPD (past)

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1730925751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 E HORSEHAVEN AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 N 3RD ST STE 850",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143326",
            "telephone_number": "208-992-4184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1321 N Northwood Center Ct Ste A",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838144944",
            "country_code": "US",
            "telephone_number": "208-765-3452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTTOH",
        "first_name": "RENEE",
        "credential": "DNP-FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "69217",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "6961760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF OCCUPATIONAL AND PROFESSIONAL LICENSES",
            "identifier": "6961760",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annie M Moser Allen, APRN
• Natasha Mosley
• Eric Nuneza Mosqueda, M.D.
• Stephen A Moss, M.D.
• Tambry Mostul, LAC
• Hanson Mouanoutoua
• Mountain Clarity Counseling, PLLC
• Mark Mroczko, MD
• Brittany Mueller, BCBA
• Patrick James Mullen, M.D.

• Family Nurse Practitioner in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.