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IDAHO SLEEP AND NEUROLOGY, PLLC
NPI 1902220411
Psychiatry & Neurology - Neurology in Caldwell, ID

Active since February 05, 2014
1825 S KIMBALL AVE, CALDWELL, ID 83605(208) 454-0567(208) 402-6635 Get Directions Write a Review

NPPES record last updated: February 13, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Idaho Sleep And Neurology, Pllc NPPES

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

IDAHO SLEEP AND NEUROLOGY, PLLC (NPI 1902220411) is a healthcare organization registered as a neurology in Caldwell, Idaho and active in the NPI registry since February 2014. The organization lists Wade S Harris, Owner, as its authorized official.

NPPES Registry Identity

NPI1902220411
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameIDAHO SLEEP AND NEUROLOGY, PLLC
Location Address1825 S KIMBALL AVECaldwell, ID 83605-4828
Mailing Address1825 S Kimball AveCaldwell, ID 83605-4828 · (208) 454-0567 · Fax (208) 402-6635
Phone(208) 454-0567
Fax(208) 402-6635
Organization SubpartNo
Authorized OfficialWade S HarrisOwner · (208) 454-0567
Enumeration DateFebruary 5, 2014
Last NPPES UpdateFebruary 13, 2014
✔ NPI 1902220411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in ID · M9670
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1825 S KIMBALL AVE, Caldwell, ID 83605
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Other Identifiers 6

Medicare PIN20002741ID
Other1063585305ID · Npi
Medicare PIN1366392ID
Medicare UPINI72062ID
Medicare PIN1349082ID
Medicaid807637500ID

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 2

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

MYKEL MARIE JESS
Nurse Practitioner (Gerontology)
1825 S KIMBALL AVE
CALDWELL, ID 83605
Canyon County (208) 455-3535
JOHN R PEARCE DO
Family Medicine
1825 S KIMBALL AVE
CALDWELL, ID 83605
Canyon County (208) 455-3545

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 Idaho Sleep And Neurology, PLLC's NPI number?

The NPI number for Idaho Sleep And Neurology, PLLC is 1902220411. It was assigned to this organization in the NPPES registry on February 5, 2014.

Where is Idaho Sleep And Neurology, PLLC located?

Idaho Sleep And Neurology, PLLC is located at 1825 S Kimball Ave, Caldwell, ID 83605. The listed phone number is (208) 454-0567.

What is Idaho Sleep And Neurology, PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Idaho Sleep And Neurology, PLLC was last updated on February 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.