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TRANSFORMED MIND AND BODY LLC
NPI 1063230449
Nurse Practitioner - Psychiatric/Mental Health in Nampa, ID

Active since October 02, 2024
824 17TH AVE S STE 15, NAMPA, ID 83651(407) 865-0101 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Transformed Mind And Body Llc NPPES

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

TRANSFORMED MIND AND BODY LLC (NPI 1063230449) is a healthcare organization registered as a psychiatric/mental health in Nampa, Idaho and active in the NPI registry since October 2024. The organization lists Joniruth Digaum, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1063230449
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameTRANSFORMED MIND AND BODY LLC
Location Address824 17TH AVE S STE 15Nampa, ID 83651-4780
Mailing Address8040 S Red Cliff AveBoise, ID 83716-3466 · (407) 865-0101
Phone(407) 865-0101
Organization SubpartNo
Authorized OfficialJoniruth DigaumNurse Practitioner · (407) 865-0101
Enumeration DateOctober 2, 2024
NPPES CertifiedSeptember 30, 2024
✔ NPI 1063230449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
824 17TH AVE S STE 15, Nampa, ID 83651
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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 2

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

JENNIFER HAAGENSON LPC, NCC
Counselor (Mental Health)
824 17TH AVE S STE 15
NAMPA, ID 83651
Canyon County (208) 992-3310
REENDEAVOR, LLC
Counselor (Mental Health)
824 17TH AVE S STE 15
NAMPA, ID 83651
Canyon County (208) 992-3310

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 Transformed Mind And Body LLC's NPI number?

The NPI number for Transformed Mind And Body LLC is 1063230449. It was assigned to this organization in the NPPES registry on October 2, 2024.

Where is Transformed Mind And Body LLC located?

Transformed Mind And Body LLC is located at 824 17th Ave S Ste 15, Nampa, ID 83651. The listed phone number is (407) 865-0101.

What is Transformed Mind And Body LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Transformed Mind And Body LLC was last updated on October 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.