Organization Active NPI

Bee Happy Pediatrics

  • Pediatric Nurse Practitioner
  • Idaho Falls, ID
National Provider Identifier
1790291276
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
57138 Issued in ID
Legal business name
BEE HAPPY PEDIATRICS
Practice address
3412 S 25TH E
Idaho Falls, ID 83404-4967
Phone
(208) 497-0680
Fax
(208) 497-0650
NPI assigned
Dec 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Authorized official

Name
Deborah A Hill, CPNPNPI 1821016015
Title
Nurse Practitioner
Phone
(208) 497-0680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0200X 57138 ID Primary

Addresses

Primary practice location

3412 S 25TH E
Idaho Falls, ID 83404-4967

Mailing address

3412 S 25TH E
Idaho Falls, ID 83404-4967
Phone (208) 497-0680

Other identifiers 1

IdentifierTypeStateIssuer
1790291276MedicaidID

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2147515Bee Happy Pediatrics PLLC3412 South 25TH East, Idaho Falls, ID 83404Certificate of waiverApr 19, 2028

National Provider Directory

National Provider Directory

Locations

3412 S 25th E
Idaho Falls, ID 83404
Phone (208) 497-0680

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17082/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1790291276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 S 25TH E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044967",
            "telephone_number": "208-497-0680",
            "fax_number": "208-497-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3412 S 25TH E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044967",
            "telephone_number": "208-497-0680",
            "fax_number": "208-497-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEE HAPPY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "208-497-0680",
        "authorized_official_credential": "CPNP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "ID",
            "license": "57138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790291276",
            "state": "ID"
        }
    ],
    "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 Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.