DEVA WELLNESS PLLC
NPI 1043055338
Nurse Practitioner - Family in Boise, ID

Active since June 27, 2024
1620 W BANNOCK ST, BOISE, ID 83702(208) 918-2242 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Deva Wellness Pllc NPPES

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

DEVA WELLNESS PLLC (NPI 1043055338), doing business as Ritual Wellness, is a healthcare organization registered as a family in Boise, Idaho and active in the NPI registry since June 2024. The organization lists Tamra Katherine Geryk, Owner, Fnp-x, as its authorized official.

NPPES Registry Identity

NPI1043055338
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDEVA WELLNESS PLLC
Location Address1620 W BANNOCK STBoise, ID 83702-5156
Mailing Address4280 N Ginzel StBoise, ID 83703-4214 · (413) 687-3027
Organization SubpartNo
Authorized OfficialTamra Katherine GerykOwner, Fnp-x · (413) 687-3027
Enumeration DateJune 27, 2024
NPPES CertifiedJune 27, 2024
NPI 1043055338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1620 W BANNOCK ST, Boise, ID 83702

Other Names 1

Doing Business AsRitual Wellness

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Deva Wellness PLLC's NPI number?

The NPI number for Deva Wellness PLLC is 1043055338. It was assigned to this organization in the NPPES registry on June 27, 2024. The provider is doing business as Ritual Wellness.

Where is Deva Wellness PLLC located?

Deva Wellness PLLC is located at 1620 W Bannock St, Boise, ID 83702. The listed phone number is (208) 918-2242.

What is Deva Wellness PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Deva Wellness PLLC was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.