Active NPI
Camille Cassidy Wareing
- Clinical Exercise Physiologist
- Idaho Falls, ID
National Provider Identifier
1790224343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Exercise Physiologist
- Practice address
- 2410 E 25TH St
Idaho Falls, ID 83404-7549 - Phone
- (208) 557-0200
- NPI assigned
- Feb 15, 2017
- Last updated
- Feb 15, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Exercise Physiologist | 224Y00000X | Primary |
Addresses
Primary practice location
2410 E 25TH St
Idaho Falls, ID 83404-7549
Mailing address
2410 E 25TH St
Idaho Falls, ID 83404-7549
Phone (208) 557-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctor Mom's Wholesome Health, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Laramie Wheeler, DO
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1275963589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487116800000",
"number": "1790224343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 E 25TH ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047549",
"telephone_number": "208-557-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 E 25TH ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047549",
"telephone_number": "208-557-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAREING",
"first_name": "CAMILLE",
"middle_name": "CASSIDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-15",
"last_updated": "2017-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "224Y00000X",
"taxonomy_group": "",
"desc": "Clinical Exercise Physiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.