Shadow Pines Health & Wellness LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SHADOW PINES HEALTH & WELLNESS LLC

Practice address

408 S Eagle Rd Ste 205
Eagle, ID 83616-6079

Phone

(208) 244-0534

Fax

(984) 355-0375

NPI assigned

Mar 22, 2023

Organization subpart

No

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

Authorized official

Name

Joslyn Sciarrino, FNP-CNPI 1194275693

Title

Owner

Phone

(208) 244-0534

Specialties & licenses 1

Addresses

Practitioners 1

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

• Joslyn Sciarrino, FNP-C

  • Family Nurse Practitioner
  • Eagle, ID
  • NPI 1194275693
  NPD Authorized official

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1851094619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S EAGLE RD STE 205",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166079",
            "telephone_number": "208-244-0534",
            "fax_number": "984-355-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S EAGLE RD STE 205",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166079",
            "telephone_number": "208-244-0534",
            "fax_number": "984-355-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADOW PINES HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "SCIARRINO",
        "authorized_official_first_name": "JOSLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-244-0534",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sensory Bin Pediatric Therapy Clinic, PLLC
• Janet Louise Sermon, DC
• Alex Servatius, PHARMD
• Michael John Seyler, D.D.S.
• Justina Sgorbissa
• Amy Lynn Fust Shaver, BS, OTD
• Jeffrey Shepherd
• Samuel Shinkle, PA-C
• Kristi Lynn Shohet, MS, LCPC
• Joshua Shultz, RN

• Primary Care Clinic/Center in Eagle, ID
• Providers in Eagle, ID by specialty
• Primary Care Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.