NPI age
1 years
Enumerated 2024-05-21
● Active Type 2 · Organization
Revolutionary Medicine Of Idaho
Revolutionary Medicine Of Idaho is 1 of 1280 nurse practitioner organizations in Idaho.
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Robbins
Owner
Last NPPES update
2024-05-21
Source: monthly bulk 2026-05
How this organization compares
Across 1280 active nurse practitioner providers in Idaho.
NPI age
1 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-05Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
4776 N Five Mile Rd Ste 101
Boise, ID 837132715
Mailing address
2536 Canyon Rd S
Melba, ID 836415258
Authorized official
Jeffrey D Robbins, NP
Owner
📞 2088710297
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Jaylan Hibbard, DPT Physical Therapist NPI 1497439095
- Jeffrey Robbins, FNP Nurse Practitioner NPI 1669408514
- Reuben Wooley Physical Therapist NPI 1437550969
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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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.