NPI age
10 years
Enumerated 2016-02-29
● Active Type 2 · Organization
Olde Town Medical
Olde Town Medical is 1 of 56 nurse practitioner organizations in Idaho.
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tomey
Provider/owner
Last NPPES update
2016-03-11
Source: monthly bulk 2026-05
How this organization compares
Across 56 active nurse practitioner providers in Idaho.
NPI age
10 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-02Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
124 E Pine Ave
Meridian, ID 836422331
Mailing address
124 E Pine Ave
Meridian, ID 836422331
Authorized official
Susan E Tomey, NP
Provider/owner
📞 2088885422
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | NP-735A | IDAHO NP LICENSE |
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.