NPI age
10 years
Enumerated 2015-06-30
● Active Type 2 · Organization
Id Phs Llc
Id Phs Llc is 1 of 658 nurse practitioner organizations in Idaho.
Primary specialty
Nurse Practitioner
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Howard
Ceo
Last NPPES update
2015-06-30
Source: monthly bulk 2026-05
How this organization compares
Across 658 active nurse practitioner providers in Idaho.
NPI age
10 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 34% of peers with subspecialties
NPI lifetime · 2015 → 2026
2015-06Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
950 W. Banncock Street Ste 1100
Boise, ID 837026140
Mailing address
1509 Dulles Dr
Lafayette, LA 705063718
Authorized official
Nicole Howard
Ceo
📞 3379919276
Specialties
-
Nurse Practitioner Primary(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
-
Nurse PractitionerDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.