REVOLUTIONARY MEDICINE OF IDAHO
NPI 1487493292
Nurse Practitioner - Family in Boise, ID

Q: What is Revolutionary Medicine Of Idaho's NPI number?

The NPI number for Revolutionary Medicine Of Idaho is 1487493292. It was assigned to this organization in the NPPES registry on May 21, 2024.

Q: What is Revolutionary Medicine Of Idaho's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since May 21, 2024

4776 N FIVE MILE RD STE 101, BOISE, ID 83713(986) 777-0278(208) 658-9501 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Revolutionary Medicine Of Idaho NPPES

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

REVOLUTIONARY MEDICINE OF IDAHO (NPI 1487493292) is a healthcare organization registered as a family in Boise, Idaho and active in the NPI registry since May 2024. The organization lists Jeffrey D Robbins, Owner, as its authorized official.

NPPES Registry Identity

NPI1487493292

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameREVOLUTIONARY MEDICINE OF IDAHO

Location Address4776 N FIVE MILE RD STE 101Boise, ID 83713-2715

Mailing Address2536 Canyon Rd SMelba, ID 83641-5258 · (208) 871-0297

Phone(986) 777-0278

Fax(208) 658-9501

Organization SubpartNo

Authorized OfficialJeffrey D RobbinsOwner · (208) 871-0297

Enumeration DateMay 21, 2024

NPPES CertifiedMay 21, 2024

✔ NPI 1487493292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

4776 N FIVE MILE RD STE 101, Boise, ID 83713

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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

Other Providers at the Same Location NPPES 3

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

REUBEN LIKA WOOLEY

Physical Therapist

4776 N FIVE MILE RD STE 101
BOISE, ID 83713

Ada County (208) 658-9500

JAYLAN ISAIAH HIBBARD DPT

Physical Therapist (Orthopedic)

4776 N FIVE MILE RD STE 101
BOISE, ID 83713

Ada County (208) 658-9500

MR. JEFFREY D ROBBINS FNP

Nurse Practitioner (Family)

4776 N FIVE MILE RD STE 101
BOISE, ID 83713

Ada County (208) 986-7770

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 Revolutionary Medicine Of Idaho's NPI number?

The NPI number for Revolutionary Medicine Of Idaho is 1487493292. It was assigned to this organization in the NPPES registry on May 21, 2024.

Where is Revolutionary Medicine Of Idaho located?

Revolutionary Medicine Of Idaho is located at 4776 N Five Mile Rd Ste 101, Boise, ID 83713. The listed phone number is (986) 777-0278.

What is Revolutionary Medicine Of Idaho's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Revolutionary Medicine Of Idaho was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.