| (dba) Nimiipuu Health | |
|
111 Bever Grade Nimiipuu Health Lapwai ID 83540-0367 | |
| (208) 843-2271 | |
| (208) 621-4995 |
| Full Name | (dba) Nimiipuu Health |
|---|---|
| Speciality | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Location | 111 Bever Grade, Lapwai, Idaho |
| Authorized Official Name and Position | R. Kim Hartwig (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2088432271 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| (dba) Nimiipuu Health Po Box 367 Lapwai ID 83540-0367 Ph: (208) 843-2271 | (dba) Nimiipuu Health 111 Bever Grade Nimiipuu Health Lapwai ID 83540-0367 Ph: (208) 843-2271 |
| NPI Number | 1790795888 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 07/22/2022 |
| Medicare PECOS PAC ID | 0941288302 |
|---|---|
| Medicare Enrollment ID | O20040712000823 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790795888 | NPI | - | NPPES |
| 805010102 | Medicaid | ID | |
| 805010100 | Medicaid | ID |
| Provider Name | Bradley John Capawana |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447257076 PECOS PAC ID: 7810976388 Enrollment ID: I20080104000184 |
| Provider Name | Julie K Keller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902816150 PECOS PAC ID: 1153514534 Enrollment ID: I20101018000869 |
| Provider Name | Kristy Anne Kuehfuss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114102274 PECOS PAC ID: 1557491651 Enrollment ID: I20120801000492 |
| Provider Name | Ileen S Huh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013220979 PECOS PAC ID: 3678766599 Enrollment ID: I20130620000446 |
| Provider Name | Chad M Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174834535 PECOS PAC ID: 8224153200 Enrollment ID: I20140410001608 |
| Provider Name | Thanh Danae N Vu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366447237 PECOS PAC ID: 6103819685 Enrollment ID: I20140417001197 |
| Provider Name | Korena Popp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326102450 PECOS PAC ID: 9638494362 Enrollment ID: I20150220001167 |
| Provider Name | Karen M Hendren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477937316 PECOS PAC ID: 2264733757 Enrollment ID: I20160509000697 |
| Provider Name | Miles F Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962859272 PECOS PAC ID: 7113217449 Enrollment ID: I20160527001031 |
| Provider Name | Tonia Aripa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114373800 PECOS PAC ID: 1850651449 Enrollment ID: I20180130000815 |
| Provider Name | Dustin K Worth |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1740307479 PECOS PAC ID: 8123103264 Enrollment ID: I20180612002124 |
| Provider Name | Tammy Lee Everson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245422625 PECOS PAC ID: 0244256931 Enrollment ID: I20181227001537 |
| Provider Name | Seker R Medavarapu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447312640 PECOS PAC ID: 9931096393 Enrollment ID: I20190531000202 |
| Provider Name | Roxie K Hartwig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669455770 PECOS PAC ID: 7416979182 Enrollment ID: I20190705000030 |
| Provider Name | John Lyle Turner |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1568730059 PECOS PAC ID: 8224340153 Enrollment ID: I20191003002563 |
| Provider Name | Edward Dubois Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760577308 PECOS PAC ID: 1456359173 Enrollment ID: I20200228000188 |
| Provider Name | Krystal K Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942864426 PECOS PAC ID: 0840521886 Enrollment ID: I20200310000230 |
| Provider Name | Heather M Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962877464 PECOS PAC ID: 6305276270 Enrollment ID: I20200416000372 |
| Provider Name | Brenda Sellner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720547847 PECOS PAC ID: 6406181882 Enrollment ID: I20210831000299 |
| Provider Name | John A Horstkamp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932172723 PECOS PAC ID: 0840239943 Enrollment ID: I20220128001169 |
| Provider Name | Aurora A Horstkamp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255304499 PECOS PAC ID: 7315998473 Enrollment ID: I20220131000545 |
| Provider Name | Sabrina M Wakefield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912473919 PECOS PAC ID: 4587900543 Enrollment ID: I20220214000277 |