Avalon Certified Family Home

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

AVALON CERTIFIED FAMILY HOME

Practice address

2302 S Wildrye Way
Nampa, ID 83686-4920

Phone

(208) 899-1544

Fax

(208) 544-4030

NPI assigned

Jun 8, 2026

Organization subpart

No

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

Authorized official

Name

Mrs. Bobbie D Spencer, RN

Title

Owner

Phone

(208) 899-1544

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1962335877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 S WILDRYE WAY",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836864920",
            "telephone_number": "208-899-1544",
            "fax_number": "208-544-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 S WILDRYE WAY",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836864920",
            "telephone_number": "208-899-1544",
            "fax_number": "208-544-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON CERTIFIED FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-899-1544",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.