Cherry Heights Family Clinic LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CHERRY HEIGHTS FAMILY CLINIC LLC

Practice address

1560 N Crestmont Dr Ste a
Meridian, ID 83642-2178

Phone

(208) 650-4888

Fax

(208) 650-4892

NPI assigned

Aug 25, 2021

Last updated

Nov 1, 2024By 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

Tahlia Dennis

Title

Delegated Official

Phone

(082) 650-4888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 11

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.

• Lane Nathan Cable, D.C.

  • Chiropractor
  • Meridian, ID
  • NPI 1891949517
  Medicare reassignment Care Compare group NPD
• Nicole Marie Eggold, NP

  • Family Nurse Practitioner
  • Meridian, ID
  • NPI 1982319133
  Medicare reassignment Care Compare group NPD
• Patricia E. Moore, NP

  • Family Nurse Practitioner
  • Boise, ID
  • NPI 1912476672
  Medicare reassignment Care Compare group NPD
• Cherese Combs, DNP

  • Nurse Practitioner
  • Poulsbo, WA
  • NPI 1275631244

  ID

  Medicare reassignment Care Compare group NPD
• Darcy Renee Cook, N.P

  • Family Nurse Practitioner
  • Emmett, ID
  • NPI 1629699251

  Family Medicine

  Medicare reassignment NPD
• Carla D Dirmann, NP

  • Family Nurse Practitioner
  • Boise, ID
  • NPI 1851624282
  Medicare reassignment NPD
• Christina Marie Freston, DO

  • Family Medicine Physician
  • Meridian, ID
  • NPI 1003170176
  Medicare reassignment NPD
• Ashley Nicole Hall, FNP-C

  • Family Medicine Physician
  • Meridian, ID
  • NPI 1326722752
  Medicare reassignment NPD
• Michelle Ann Hocker, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Nampa, ID
  • NPI 1760071716
  Medicare reassignment NPD
• Staci Marsh

  • Family Nurse Practitioner
  • Meridian, ID
  • NPI 1366911414
  Medicare reassignment NPD
• Crystal Marie McNally

  • Nurse Practitioner
  • New Plymouth, ID
  • NPI 1538775390
  Medicare reassignment NPD

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1952078115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 N CRESTMONT DR STE A",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422178",
            "telephone_number": "208-650-4888",
            "fax_number": "208-650-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 N CRESTMONT DR STE A",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422178",
            "telephone_number": "208-650-4888",
            "fax_number": "208-650-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY HEIGHTS FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-25",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "TAHLIA",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "082-650-4888"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David CHI Chang, MD
• Change Academy at Lake of the Ozarks
• Chatterbox Speech & Language Center
• Merrisa Chavez, RD
• Mark B Cheney, DO
• Cherry Lane Dental
• Cherry Lane Family Clinic, PA
• Cherry Lane Kids Dentistry
• Ciara Chesnut
• Darcy R Cheuvront, PHARMD

• Family Medicine Physician in Meridian, ID
• Providers in Meridian, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.