NPI age
19 years
Enumerated 2007-01-11
● Active Type 2 · Organization
Coeur D Alene Spine And Brain Pllc
Coeur D Alene Spine And Brain Pllc is 1 of 305 specialist organizations in Idaho.
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tansy
Administrator
Last NPPES update
2023-02-23
Source: monthly bulk 2026-05
How this organization compares
Across 305 active specialist providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
3320 N Grand Mill Ln
Coeur D Alene, ID 838145689
Mailing address
3320 N Grand Mill Ln
Coeur D Alene, ID 838145689
Authorized official
Lisa Rae Tansy
Administrator
📞 2087659100
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Kristi Flicker, LD Dietitian, Registered NPI 1376839191
- Sean Hunter, CST Specialist/Technologist, Other NPI 1154730968
- Jeffrey Larson, MD Neurological Surgery NPI 1649353947
- Holly Moore, NP Nurse Practitioner NPI 1295018968
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 806619500 | |
| 01 | 8948154 | CRIME VICTIMS COMP FUND |
| 01 | 8H195 | BLUE CROSS OF IDAHO |
| 01 | DA4210 | MEDICARE RR |
| 01 | 000010143406 | REGENCE BLUESHIELD |
| 01 | 0172116 | WASHINGTON L & I |
| 01 | 205112900 | OWCP |
| 05 (WA) | 7116981 |
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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