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IRONWOOD FAMILY PRACTICE, PA
NPI 1083650931
Family Medicine in Coeur D Alene, ID

Active since June 21, 2006CLIA 13D0679680 · Microscopy
3815 N SCHREIBER WAY UNIT 102, COEUR D ALENE, ID 83815(208) 667-4557(208) 765-2887 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2025, Jul 21, 2022, Nov 13, 2020 and 1 more (4 updates tracked since 2020).

About Ironwood Family Practice, Pa NPPES

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

IRONWOOD FAMILY PRACTICE, PA (NPI 1083650931) is a healthcare organization registered as a family medicine in Coeur D Alene, Idaho and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through March 1, 2027 and lists Nina Ruth Everson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1083650931
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIRONWOOD FAMILY PRACTICE, PA
Location Address3815 N SCHREIBER WAY UNIT 102Coeur D Alene, ID 83815-8434
Mailing Address3815 N Schreiber Way Unit 102Coeur D Alene, ID 83815-8434 · (208) 667-4557 · Fax (208) 765-2887
Phone(208) 667-4557
Fax(208) 765-2887
Organization SubpartNo
Authorized OfficialNina Ruth EversonExecutive Director · (208) 667-4557
Enumeration DateJune 21, 2006
Last NPPES UpdateJanuary 10, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
✔ NPI 1083650931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3815 N SCHREIBER WAY UNIT 102, Coeur D Alene, ID 83815
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 13D0679680

Ironwood Family Practice · Coeur D Alene, ID
Active · expires Mar 1, 2027
CLIA Number13D0679680
Laboratory TypeIndependent
Certificate Effective DateMarch 2, 2025
Certificate Expiration DateMarch 1, 2027
Laboratory DirectorGeoffrey T. Emry
Laboratory Phone(208) 667-4557
Laboratory LocationIronwood Family Practice3815 N Schreiber Ste 102, Coeur D Alene, ID 83815
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

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

KATHERINE MARIE DEMIEN
Nurse Practitioner (Family)
3815 N SCHREIBER WAY UNIT 102
COEUR D ALENE, ID 83815
Kootenai County (208) 667-4557
MR. BRETT MICHAEL WAITE PA-C
Physician Assistant
3815 N SCHREIBER WAY UNIT 102
COEUR D ALENE, ID 83815
Kootenai County (208) 667-4557
TARA DAWN AVRIETT ARNP
Nurse Practitioner
3815 N SCHREIBER WAY UNIT 102
COEUR D ALENE, ID 83815
Kootenai County (208) 667-4557
DOREEN MAY KRAUSE ARNP
Nurse Practitioner (Family)
3815 N SCHREIBER WAY UNIT 102
COEUR D ALENE, ID 83815
Kootenai County (208) 667-4557
NICHOLE J WALTERS PIEKARSKI MSN
Nurse Practitioner (Primary Care)
3815 N SCHREIBER WAY UNIT 102
COEUR D ALENE, ID 83815
Kootenai County (208) 667-4557

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 Ironwood Family Practice, PA's NPI number?

The NPI number for Ironwood Family Practice, PA is 1083650931. It was assigned to this organization in the NPPES registry on June 21, 2006.

Where is Ironwood Family Practice, PA located?

Ironwood Family Practice, PA is located at 3815 N Schreiber Way Unit 102, Coeur D Alene, ID 83815. The listed phone number is (208) 667-4557.

What is Ironwood Family Practice, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Ironwood Family Practice, PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D0679680) is associated with this NPI, valid through March 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ironwood Family Practice, PA was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.