Active NPI
Victor Bravo Healthcare PLLC
- Nurse Practitioner
- Meridian, ID
National Provider Identifier
1821748203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- VICTOR BRAVO HEALTHCARE PLLC
- Practice address
- 4365 W Cherry LN
Meridian, ID 83642-5433 - Phone
- (208) 484-9468
- NPI assigned
- Mar 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sarah Curtright, DNP
- Title
- Medical Director
- Phone
- (208) 484-9468
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
4365 W Cherry LN
Meridian, ID 83642-5433
Mailing address
4365 W Cherry LN
Meridian, ID 83642-5433
Phone (208) 484-9468
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023439213 | Other | ID | NPI |
| 1033641154 | Other | NPI NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 340-202-1126 | Other |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Boise, ID
- NPI 1023439213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648425600000",
"number": "1821748203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4365 W CHERRY LN",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836425433",
"telephone_number": "208-484-9468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4365 W CHERRY LN",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836425433",
"telephone_number": "208-484-9468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTOR BRAVO HEALTHCARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-28",
"last_updated": "2022-03-28",
"certification_date": "2022-03-28",
"status": "A",
"authorized_official_last_name": "CURTRIGHT",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "208-484-9468",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1023439213",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER",
"identifier": "1033641154",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "340-202-1126",
"affiliation": "N",
"endpointDescription": "Doximity fax",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "fac",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "fax",
"address_1": "4365 W Cherry Ln",
"city": "Meridian",
"state": "ID",
"country_code": "US",
"postal_code": "836425433",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.