Active NPI
Christopher Kolobow, NP-C LLC
- Family Nurse Practitioner
- Bonners Ferry, ID
National Provider Identifier
1992325815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- CHRISTOPHER KOLOBOW, NP-C LLC
- Practice address
- 6737B Cody St
Bonners Ferry, ID 83805-8504 - Phone
- (208) 267-2225
- Fax
- (208) 267-9303
- NPI assigned
- Apr 21, 2020
- 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
- Christopher Michael Kolobow, NP-C
- Title
- Nurse Practitioner
- Phone
- (208) 267-2255
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
6737B Cody St
Bonners Ferry, ID 83805-8504
Mailing address
PO Box P
Bonners Ferry, ID 83805-1199
Phone (208) 304-8938
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200618000711 | ID | Part B Supplier - Clinic/Group Practice | 7517389604 |
Receives reassigned benefits from 1 practitioner Practice locations: Bonners Ferry, ID |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/21600/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Bonners Ferry, ID
- NPI 1700277688
ID, Single Specialty
-
- Massage Therapist
- Bonners Ferry, ID
- NPI 1154120988
-
- Chiropractor
- Wasilla, AK
- NPI 1578572525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768435200000",
"number": "1992325815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX P",
"city": "BONNERS FERRY",
"state": "ID",
"postal_code": "838051199",
"telephone_number": "208-304-8938",
"fax_number": "208-267-9303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6737B CODY ST",
"city": "BONNERS FERRY",
"state": "ID",
"postal_code": "838058504",
"telephone_number": "208-267-2225",
"fax_number": "208-267-9303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTOPHER KOLOBOW, NP-C LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-21",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A",
"authorized_official_last_name": "KOLOBOW",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "208-267-2255",
"authorized_official_credential": "NP-C"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bonners Ferry, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.