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ADVANCED INTEGRATED MEDICAL CENTER
NPI 1033674916
Nurse Practitioner in Blackfoot, ID

Active since February 05, 2019
1395 NW MAIN ST, BLACKFOOT, ID 83221(208) 785-0270(208) 785-0683 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2020, Nov 4, 2019, Mar 5, 2019 and 1 more (4 updates tracked since 2019).

About Advanced Integrated Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED INTEGRATED MEDICAL CENTER (NPI 1033674916) is a healthcare organization registered as a nurse practitioner in Blackfoot, Idaho and active in the NPI registry since February 2019. The organization maintains a secondary practice location in Pocatello and lists Dee Stevens, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1033674916
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameADVANCED INTEGRATED MEDICAL CENTER
Location Address1395 NW MAIN STBlackfoot, ID 83221-3936
Mailing Address1742 N 500 W Apt 102Logan, UT 84341-2875 · (435) 764-1775
Phone(208) 785-0270
Fax(208) 785-0683
Organization SubpartNo
Authorized OfficialDee StevensOwner/operator · (435) 764-1775
Enumeration DateFebruary 5, 2019
Last NPPES UpdateJune 18, 20204 updates tracked since enumeration
NPPES CertifiedJune 18, 2020
✔ NPI 1033674916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1395 NW MAIN ST, Blackfoot, ID 83221
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Secondary Practice Location 1

Location 11598 Delphic Way Ste A2Pocatello, ID 83201-2200 · Phone (208) 232-0220

Other Identifiers 1

Other1962456681Personal Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RESTORATION CHIROPRACTIC LLC
Chiropractor
1395 NW MAIN ST
BLACKFOOT, ID 83221
Bingham County (208) 785-0270
STEVEN WAYNE HULSE DC
Chiropractor
1395 NW MAIN ST
BLACKFOOT, ID 83221
Bingham County (208) 785-0270
ADVANCED CHIROPRACTIC OF BLACKFOOT
Preferred Provider Organization
1395 NW MAIN ST
BLACKFOOT, ID 83221
Bingham County (208) 785-0270

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Integrated Medical Center's NPI number?

The NPI number for Advanced Integrated Medical Center is 1033674916. It was assigned to this organization in the NPPES registry on February 5, 2019.

Where is Advanced Integrated Medical Center located?

Advanced Integrated Medical Center is located at 1395 NW Main St, Blackfoot, ID 83221. The listed phone number is (208) 785-0270.

What is Advanced Integrated Medical Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Advanced Integrated Medical Center was last updated on June 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.