Individual provider Active NPI

Casie Taylor, FNP

  • Family Nurse Practitioner
  • Rupert, ID
National Provider Identifier
1851635114
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-1188A Issued in ID
Practice address
1218 9TH St Ste 10
Rupert, ID 83350-2207
Phone
(208) 464-8420
Fax
(208) 436-3956
NPI assigned
Nov 26, 2012
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP-1188A ID Primary

Addresses

Primary practice location

1218 9TH St Ste 10
Rupert, ID 83350-2207

Mailing address

1224 8TH Street
Rupert, ID 83350-1527
Phone (208) 434-8236

Other practice location 1

1308 8TH St
Ste 1
Rupert, ID 83350-1535
Phone (208) 436-4322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130618000606 ID Practitioner - Nurse Practitioner 2264671593 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP-1188AIDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minidoka Memorial Hospital CurrentSince Oct 24, 2016 Accepting new patients
Minidoka Memorial Hospital CurrentSince Oct 24, 2016 Accepting new patients
Minidoka Memorial Hospital Family Medicine Past Accepting new patients

Locations

1218 9th St
Ste 10
Rupert, ID 83350
Phone (208) 434-8420

1224 8th St
Rupert, ID 83350
Phone (208) 434-8236

1308 8th St
Ste 1
Rupert, ID 83350
Phone (208) 436-4322

Interoperability endpoints

  • Direct secure messaging: ctaylor626332@direct.ochin.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1851635114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 8TH STREET",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833501527",
            "telephone_number": "208-434-8236",
            "fax_number": "208-436-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 9TH ST STE 10",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833502207",
            "telephone_number": "208-464-8420",
            "fax_number": "208-436-3956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1308 8TH ST",
            "address_2": "STE 1",
            "address_purpose": "LOCATION",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833501535",
            "country_code": "US",
            "telephone_number": "208-436-4322",
            "fax_number": "208-436-1312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CASIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-1188A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rupert, ID

Sources for this page

Verify at the official NPI Registry.