Individual provider Active NPI

Brian Shintaku, BS

  • Case Manager/Care Coordinator
  • Nampa, ID
National Provider Identifier
1851201347
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
3307 Caldwell Blvd Ste 104
Nampa, ID 83651-6403
Phone
(208) 465-4833
Fax
(208) 467-2654
NPI assigned
Sep 9, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X ID Primary

Addresses

Primary practice location

3307 Caldwell Blvd Ste 104
Nampa, ID 83651-6403

Mailing address

3307 Caldwell Blvd Ste 104
Nampa, ID 83651-6403
Phone (208) 465-4833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1851201347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 CALDWELL BLVD STE 104",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836516403",
            "telephone_number": "208-465-4833",
            "fax_number": "208-467-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 CALDWELL BLVD STE 104",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836516403",
            "telephone_number": "208-465-4833",
            "fax_number": "208-467-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINTAKU",
        "first_name": "BRIAN",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.