Tennessee Phs PC
NPI 1063786648ActiveOrganization· Nurse Practitioner· Boise, ID
Nurse Practitioner in Boise, Idaho, registered in NPPES in February 2012, part of Provider Health Services LLC. The authorized official on file is Nicole Howard, Cfo.
Overview
| NPI | 1063786648 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Provider Health Services LLC |
| NPI issued | Feb 29, 2012 |
| Last updated in NPPES | Jul 2, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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