Treasure Valley Holistic Care

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

TREASURE VALLEY HOLISTIC CARE

Practice address

1166 N Cole Rd Ste a
Boise, ID 83704-8658

Phone

(208) 440-1085

Fax

(208) 249-9757

NPI assigned

May 24, 2022

Last updated

May 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Niculina Bistriceanu, NPNPI 1184197311

Title

Owner

Phone

(208) 440-1085

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Niculina Bistriceanu, MSN

  • Family Nurse Practitioner
  • Nampa, ID
  • NPI 1184197311
  NPD Authorized official

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1881332435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 N COLE RD STE A",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048658",
            "telephone_number": "208-440-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 N COLE RD STE A",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048658",
            "telephone_number": "208-440-1085",
            "fax_number": "208-249-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE VALLEY HOLISTIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "BISTRICEANU",
        "authorized_official_first_name": "NICULINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-440-1085",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "363LF0000X",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Boise, ID
• Providers in Boise, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.

Verify at the official NPI Registry.