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COEUR D ALENE SPINE AND BRAIN PLLC
NPI 1588714489
Specialist in Coeur D Alene, ID

Active since January 11, 2007
3320 N GRAND MILL LN, COEUR D ALENE, ID 83814(208) 765-9100(208) 765-9103 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 23, 2023, Nov 20, 2019 (2 updates tracked since 2019).

About Coeur D Alene Spine And Brain Pllc NPPES

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

COEUR D ALENE SPINE AND BRAIN PLLC (NPI 1588714489) is a healthcare organization registered as a specialist in Coeur D Alene, Idaho and active in the NPI registry since January 2007. The organization lists Lisa Rae Tansy, Administrator, as its authorized official.

NPPES Registry Identity

NPI1588714489
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCOEUR D ALENE SPINE AND BRAIN PLLC
Location Address3320 N GRAND MILL LNCoeur D Alene, ID 83814-5689
Mailing Address3320 N Grand Mill LnCoeur D Alene, ID 83814-5689 · (208) 765-9100 · Fax (208) 765-9103
Phone(208) 765-9100
Fax(208) 765-9103
Organization SubpartNo
Authorized OfficialLisa Rae TansyAdministrator · (208) 765-9100
Enumeration DateJanuary 11, 2007
Last NPPES UpdateFebruary 23, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2023
✔ NPI 1588714489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in ID · M8677
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3320 N GRAND MILL LN, Coeur D Alene, ID 83814
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Other Identifiers 8

Medicaid806619500ID
Other8948154Crime Victims Comp Fund
Other8H195Blue Cross Of Idaho
OtherDA4210Medicare Rr
Other000010143406Regence Blueshield
Other0172116Washington L & I
Other205112900Owcp
Medicaid7116981WA

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 4

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

SEAN MICHAEL HUNTER CST
Specialist/Technologist, Other (Surgical Assistant)
3320 N GRAND MILL LN
COEUR D ALENE, ID 83814
Kootenai County (208) 765-9100
HOLLY KAY MOORE NP
Nurse Practitioner
3320 N GRAND MILL LN
COEUR D ALENE, ID 83814
Kootenai County (208) 765-9100
KRISTI MARIE FLICKER LD
Dietitian, Registered
3320 N GRAND MILL LN
COEUR D ALENE, ID 83814
Kootenai County (208) 765-9100
DR. JEFFREY J LARSON MD
Neurological Surgery
3320 N GRAND MILL LN
COEUR D ALENE, ID 83814
Kootenai County (208) 765-9100

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 Coeur D Alene Spine And Brain PLLC's NPI number?

The NPI number for Coeur D Alene Spine And Brain PLLC is 1588714489. It was assigned to this organization in the NPPES registry on January 11, 2007.

Where is Coeur D Alene Spine And Brain PLLC located?

Coeur D Alene Spine And Brain PLLC is located at 3320 N Grand Mill Ln, Coeur D Alene, ID 83814. The listed phone number is (208) 765-9100.

What is Coeur D Alene Spine And Brain PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Coeur D Alene Spine And Brain PLLC was last updated on February 23, 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.