Core Wellness PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1665 Issued in ID

Legal business name

CORE WELLNESS PLLC

Doing business as

CORE Wellness Center

Practice address

3307 Caldwell Blvd Ste 100
Nampa, ID 83651-6403

Phone

(208) 991-6064

NPI assigned

Oct 19, 2017

Last updated

Feb 8, 2021By 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

Dr. Edgardo Irizarry, DC

Title

Manager

Phone

(208) 991-6064

Specialties & licenses 1

Addresses

Other names 1

• CORE Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 2

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.

• Lilliana Emmanuelli, DC

  • Chiropractor
  • Caldwell, ID
  • NPI 1184149635
  Medicare reassignment
• Edgardo Irizarry-Nunez, DC

  • Chiropractor
  • Nampa, ID
  • NPI 1386166825
  Medicare reassignment

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1912418716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 CALDWELL BLVD STE 100",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836516403",
            "telephone_number": "208-991-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 CALDWELL BLVD STE 100",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836516403",
            "telephone_number": "208-991-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "IRIZARRY",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-991-6064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORE Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Corbett Sousa
• Madison K Cordova, LCSW
• Core Counseling Center (Tim Koberlein LMSW)
• Core Counseling Center PLLC
• Core Wellness Center
• Lisa M Corn, LPC
• Cornerstone Whole Healthcare Organization, Inc. (C-Who)
• Megan Correll
• Andrea Cortes Dobson, PA
• Dustin W Cosby, DPT

• Chiropractor in Nampa, ID
• Providers in Nampa, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.