P Praxis·MD
● Active Type 2 · Organization

Corbett Sousa

Point of Service·Nampa, ID· NPI 1417442484 · Enumerated 2018 · 7 years on NPI
Corbett Sousa is 1 of 10 point of service organizations in Idaho.
NPI age
7 years
Enumerated 2018-06-22
Primary specialty
Point of Service
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Simmons
Credentialing/billing
Last NPPES update
2018-06-22
Source: monthly bulk 2026-05

How this organization compares

Across 10 active point of service providers in Idaho.

NPI age
7 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2018 → 2026

2018-06Enumerated in NPPES
2018 2026

Where they practice

Primary practice location
16 12th Ave S Ste 208
Nampa, ID 836513937
📞 2086496048fax 2089062343
Mailing address
16 12th Ave S Ste 208
Nampa, ID 836513937
📞 2086496048fax 2089062343

Authorized official

Katy Simmons
Credentialing/billing
📞 2084526580

Specialties

  • Point of Service Primary
    This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
    ID license #37239 taxonomy 305S00000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Achieving Family Wellness LLC
    Type code 5 recorded 2018-06-22

Practice context

Single-site organization. Only one practice location on file.

Provyx · Custom healthcare lists

Need all 10 Point of Service providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related