Two Rivers Medical Group

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

TWO RIVERS MEDICAL GROUP

Practice address

7568 Ferris Ave
Boise, ID 83714-5508

Phone

(208) 283-7691

NPI assigned

Mar 31, 2019

Organization subpart

No

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

Authorized official

Name

Erin Prettyweasel

Title

Owner, Ceo

Phone

(208) 283-7691

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1553990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1770044703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1311",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836161311",
            "telephone_number": "088-283-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7568 FERRIS AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837145508",
            "telephone_number": "208-283-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO RIVERS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-31",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "PRETTYWEASEL",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "208-283-7691"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlyn Tutygrs, HIS
• Lindsay M Tverdy Winans, MD
• Kendrick L. Tweedt, D.C., C.C.S.P.
• James P Tweeten, M.D.
• Twinflower Healthcare, Inc.
• Brooke Bettis Twomey, R.N.
• Eileen Maria Twomey, PHARM.D.
• Michael James Twomey, MD
• Tyler J Smith,PA
• Amanda Tyler, LPC

• Case Management Agency in Boise, ID
• Providers in Boise, ID by specialty
• Case Management Agency in Idaho

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