SANDPOINT PEDIATRICS IN BONNERS FERRY
NPI 1114954179
Pediatrics - Adolescent Medicine in Sandpoint, ID

Active since June 27, 2006
420 N 2ND AVE, 100, SANDPOINT, ID 83864(208) 265-2242(208) 265-8214 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sandpoint Pediatrics In Bonners Ferry NPPES

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

SANDPOINT PEDIATRICS IN BONNERS FERRY (NPI 1114954179) is a healthcare organization registered as an adolescent medicine in Sandpoint, Idaho and active in the NPI registry since June 2006. The organization lists Becky Shelton, Manager, as its authorized official.

NPPES Registry Identity

NPI1114954179
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameSANDPOINT PEDIATRICS LLP
Location Address420 N 2ND AVE, 100Sandpoint, ID 83864-1552
Mailing Address420 N 2nd AveSandpoint, ID 83864-1552 · (208) 265-2242 · Fax (208) 265-8214
Fax(208) 265-8214
Organization SubpartNo
Authorized OfficialBecky SheltonManager · (208) 265-2242
Enumeration DateJune 27, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1114954179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Licenses Licensed in ID · M-4954 Licensed in ID · M6447
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
420 N 2ND AVE, Sandpoint, ID 83864

Other Names 1

Doing Business AsSandpoint Pediatrics In Bonners Ferry

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

Physician Assistant (Medical)
420 N 2ND AVE
SANDPOINT, ID 83864
Obstetrics & Gynecology
420 N 2ND AVE
SANDPOINT, ID 83864
Obstetrics & Gynecology
420 N 2ND AVE, SUITE 200
SANDPOINT, ID 83864
Pediatrics
420 N 2ND AVE, SANDPOINT PEDIATRICS - KANIKSU HEALTH SERVICES
SANDPOINT, ID 83864
Counselor (Mental Health)
420 N 2ND AVE
SANDPOINT, ID 83864
Physician Assistant
420 N 2ND AVE, STE 100
SANDPOINT, ID 83864
Physician Assistant
420 N 2ND AVE
SANDPOINT, ID 83864
Pediatrics
420 N 2ND AVE, STE 100
SANDPOINT, ID 83864

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 Sandpoint Pediatrics LLP's NPI number?

The NPI number for Sandpoint Pediatrics LLP is 1114954179. It was assigned to this organization in the NPPES registry on June 27, 2006. The provider is doing business as Sandpoint Pediatrics In Bonners Ferry.

Where is Sandpoint Pediatrics LLP located?

Sandpoint Pediatrics LLP is located at 420 N 2nd Ave 100, Sandpoint, ID 83864. The listed phone number is (208) 265-2242.

What is Sandpoint Pediatrics LLP's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Sandpoint Pediatrics LLP was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.