NPI age
14 years
Enumerated 2011-10-31
● Active
Type 1 · Individual
Timothy Steven Nicolello, ATC
Nicolello is 1 of 94 specialist/technologist providers in Boise and 1 of 326 in Idaho.
Primary specialty
Specialist/Technologist
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-04-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 326 active specialist/technologist providers in Idaho.
NPI age
14 years
↑ 6 yr above median (8 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 10% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-10Enumerated in NPPES
2011
2026
Where they practice
Practice location
1109 W Myrtle St, Suite 200
Boise, ID 837026970
Mailing address
14078 W Bunkerhill St
Boise, ID 837130702
Specialties
-
Specialist/Technologist PrimaryAthletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently,...
-
Specialist/Technologist, OtherGeneral classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
Practice context
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.