GREENE MOUNTAIN MEDICAL
NPI 1124710009
Clinic/Center - Primary Care in Nampa, ID

Active since May 22, 2023
3719 WHEELER CIR, NAMPA, ID 83686(208) 695-0388(208) 606-3682 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 5, 2023, May 22, 2023 (2 updates tracked since 2023).

About Greene Mountain Medical NPPES

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

GREENE MOUNTAIN MEDICAL (NPI 1124710009) is a healthcare organization registered as a primary care in Nampa, Idaho and active in the NPI registry since May 2023. The organization lists Aimee Elizabeth Shepard, Owner, as its authorized official.

NPPES Registry Identity

NPI1124710009
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGREENE MOUNTAIN MEDICAL
Location Address3719 WHEELER CIRNampa, ID 83686-7949
Mailing Address3719 Wheeler CirNampa, ID 83686-7949 · (208) 695-0388
Fax(208) 606-3682
Organization SubpartNo
Authorized OfficialAimee Elizabeth ShepardOwner · (208) 695-0388
Enumeration DateMay 22, 2023
Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
NPI 1124710009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3719 WHEELER CIR, Nampa, ID 83686

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
3719 WHEELER CIR
NAMPA, ID 83686

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 Greene Mountain Medical's NPI number?

The NPI number for Greene Mountain Medical is 1124710009. It was assigned to this organization in the NPPES registry on May 22, 2023.

Where is Greene Mountain Medical located?

Greene Mountain Medical is located at 3719 Wheeler Cir, Nampa, ID 83686. The listed phone number is (208) 695-0388.

What is Greene Mountain Medical's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Greene Mountain Medical was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.