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TREASURE VALLEY HEALTHCARE PLLC
NPI 1336762566
Nurse Practitioner - Gerontology in Meridian, ID

Active since May 21, 2020
1120 S RACKHAM WAY, MERIDIAN, ID 83642(208) 577-8672(208) 209-6058 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2020, May 27, 2020, May 21, 2020 (3 updates tracked since 2020).

About Treasure Valley Healthcare Pllc NPPES

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

TREASURE VALLEY HEALTHCARE PLLC (NPI 1336762566) is a healthcare organization registered as a gerontology in Meridian, Idaho and active in the NPI registry since May 2020. The organization maintains a secondary practice location in Boise and lists Candice Elaine Adams, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336762566
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameTREASURE VALLEY HEALTHCARE PLLC
Location Address1120 S RACKHAM WAYMeridian, ID 83642-1092
Mailing Address5108 N Maidstone WayBoise, ID 83713-1367 · (208) 577-8672 · Fax (208) 939-6106
Phone(208) 577-8672
Fax(208) 209-6058
Organization SubpartNo
Authorized OfficialCandice Elaine AdamsCeo · (208) 577-8672
Enumeration DateMay 21, 2020
Last NPPES UpdateJuly 29, 20253 updates tracked since enumeration
NPPES CertifiedJuly 29, 2025
✔ NPI 1336762566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
1120 S RACKHAM WAY, Meridian, ID 83642
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Secondary Practice Location 1

Location 15108 N Maidstone WayBoise, ID 83713-1367 · Phone (208) 577-8672 · Fax (208) 939-6106

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 2

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

CELESTE RENEE CHRISTIANSEN FNP
Nurse Practitioner
1120 S RACKHAM WAY
MERIDIAN, ID 83642
Ada County (208) 577-8672
CANDICE ELAINE ADAMS DNP, APRN, AGPCNP-BC
Nurse Practitioner (Primary Care)
1120 S RACKHAM WAY
MERIDIAN, ID 83642
Ada County (208) 577-8672

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 Treasure Valley Healthcare PLLC's NPI number?

The NPI number for Treasure Valley Healthcare PLLC is 1336762566. It was assigned to this organization in the NPPES registry on May 21, 2020.

Where is Treasure Valley Healthcare PLLC located?

Treasure Valley Healthcare PLLC is located at 1120 S Rackham Way, Meridian, ID 83642. The listed phone number is (208) 577-8672.

What is Treasure Valley Healthcare PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Treasure Valley Healthcare PLLC was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.