Organization Active NPI

Bright Track Kids, LLC

  • Multi-Specialty Clinic/Center
  • Boise, ID
National Provider Identifier
1912775255
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BRIGHT TRACK KIDS, LLC
Practice address
8081 W Brooks Dr
Boise, ID 83714-9724
Phone
(224) 202-7067
Fax
(224) 526-5164
NPI assigned
Dec 15, 2023
Last updated
Dec 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Authorized official

Name
Amy Francis, DONPI 1346497625
Title
Medical Director
Phone
(224) 202-7067

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Developmental - Behavioral Pediatrics Physician 2080P0006X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

8081 W Brooks Dr
Boise, ID 83714-9724

Mailing address

8081 W Brooks Dr
Boise, ID 83714-9724
Phone (224) 202-7067

Other identifiers 1

IdentifierTypeStateIssuer
1891050746OtherILNATIONAL PROVIDER INDENTIFIER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1912775255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 W BROOKS DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837149724",
            "telephone_number": "224-202-7067",
            "fax_number": "224-526-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 W BROOKS DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837149724",
            "telephone_number": "224-202-7067",
            "fax_number": "224-526-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT TRACK KIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "224-202-7067",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER INDENTIFIER",
            "identifier": "1891050746",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.