MS. SALLY KUPCHOCK NP
NPI 1063446094
Nurse Practitioner in Idaho Falls, ID

Q: What is Sally Kupchock's NPI number?

The NPI number for Sally Kupchock is 1063446094. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Q: What is Sally Kupchock's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sally Kupchock was last updated on November 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since July 10, 2006

1182 E 21ST ST, IDAHO FALLS, ID 83404(208) 227-6753 Get Directions Write a Review

NPPES record last updated: November 30, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Sally Kupchock Np NPPES

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

MS. SALLY KUPCHOCK NP (NPI 1063446094) is an individual nurse practitioner in Idaho Falls, Idaho, licensed in Idaho (NP737A) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1063446094

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. SALLY KUPCHOCKCredential: NP

Location Address1182 E 21ST STIdaho Falls, ID 83404-7003

Mailing Address1182 E 21st StIdaho Falls, ID 83404-7003 · (208) 227-6753

Phone(208) 227-6753

Sole ProprietorNo

Enumeration DateJuly 10, 2006

Last NPPES UpdateNovember 30, 2007

✔ NPI 1063446094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in ID · NP737A

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.

1182 E 21ST ST, Idaho Falls, ID 83404

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Other Identifiers 3

Medicare UPINQ16891

Medicare ID-Type UnspecifiedI345438ID

OtherNPXT3ID · Blue Cross Id

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 Sally Kupchock's NPI number?

The NPI number for Sally Kupchock is 1063446094. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Sally Kupchock located?

Sally Kupchock practices at 1182 E 21st St, Idaho Falls, ID 83404. The listed phone number is (208) 227-6753.

What is Sally Kupchock'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 Sally Kupchock was last updated on November 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.