Active NPI
East Meets West Medical Clinic
- Family Nurse Practitioner
- Nampa, ID
National Provider Identifier
1982299103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- EAST MEETS WEST MEDICAL CLINIC
- Practice address
- 353 W Iowa Ave
Nampa, ID 83686-2856 - Phone
- (480) 430-3530
- NPI assigned
- Mar 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tyle Watkins, DNP
- Title
- Owner
- Phone
- (480) 430-3530
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
353 W Iowa Ave
Nampa, ID 83686-2856
Mailing address
3873 E Renwick St
Meridian, ID 83642-6486
Phone (480) 430-3530
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://webservice.kareo.com/services/soap/2.1/ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D2215325 | East Meets West Medical Clinic | Certificate of waiver | Mar 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
3764 E Amity Ave
Ste 103
Nampa, ID 83687
Phone (208) 891-2201
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Nampa, ID
- NPI 1174936462
-
- Durable Medical Equipment & Medical Supplies
- Nampa, ID
- NPI 1003752916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615248000000",
"number": "1982299103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3873 E RENWICK ST",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426486",
"telephone_number": "480-430-3530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 W IOWA AVE",
"city": "NAMPA",
"state": "ID",
"postal_code": "836862856",
"telephone_number": "480-430-3530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST MEETS WEST MEDICAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-09",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A",
"authorized_official_last_name": "WATKINS",
"authorized_official_first_name": "TYLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-430-3530",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://webservice.kareo.com/services/soap/2.1/",
"affiliation": "N",
"address_1": "353 W Iowa Ave",
"city": "Nampa",
"state": "ID",
"country_code": "US",
"postal_code": "836862856",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Nampa, ID
- James R Dzur, MD
- Eagle Creek Ranch Recovery, LLC
- Carolyn Eardley, LMSW
- Clara Earl, LCSW
- Elizabeth Ann Earnest, DC
- Easterseals-Goodwill Northern Rocky Mountain, Inc.
- Easterseals-Goodwill Northern Rocky Mountain, Inc.
- Easterseals-Goodwill Northern Rocky Mountain, Inc.
- Kelsey Ann Echeverria, NP
- Marni Anne Eckert Flores
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.