ADVANCED INTEGRATED MEDICAL CENTER
NPI 1033674916
Nurse Practitioner in Blackfoot, ID
NPI Status: Active since February 05, 2019
Contact Information
1395 NW MAIN ST
BLACKFOOT, ID
ZIP 83221
Phone: (208) 785-0270
Fax: (208) 785-0683
- Organization
- Nurse Practitioner
About ADVANCED INTEGRATED MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Advanced Integrated Medical Center, a provider established in Blackfoot, Idaho operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1033674916 assigned on February 2019. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Advanced Integrated Medical Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dee Stevens Dc (Owner/operator)
- NPI
- 1033674916
- Provider Name
- ADVANCED INTEGRATED MEDICAL CENTER
- Entity Type
- Organization
- Location Address
- 1395 NW MAIN ST BLACKFOOT, ID 83221
- Location Phone
- (208) 785-0270
- Location Fax
- (208) 785-0683
- Mailing Address
- 1742 N 500 W APT 102 LOGAN, UT 84341
- Mailing Phone
- (435) 764-1775
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-05-2019
- Last Update Date
- 06-18-2020
- Code Navigator
A nurse practitioner (NP) like Advanced Integrated Medical Center is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 1598 Delphic Way Ste A2
Pocatello, ID 83201
(208) 232-0220
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1962456681 | OTHER (01) | PERSONAL NPI |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 3 | 3 | 6 | 7 | 4 | 9 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 6 | 3 | 12 | 7 | 8 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 6 + 3 + 1 + 2 + 7 + 8 + 9 + 2 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1033674916 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1720521719 | ADVANCED CHIROPRACTIC OF BLACKFOOT Organization | Preferred Provider Organization | 1395 NW MAIN ST BLACKFOOT, ID 83221 (208) 785-0270 |
| 1093474355 | STEVEN WAYNE HULSE DC Individual | Chiropractor | 1395 NW MAIN ST BLACKFOOT, ID 83221 (208) 785-0270 |
| 1285732578 | MISS ELIZABETH H. CAMERON C.N.P. Individual | Nurse Practitioner (Primary Care) | 1395 NW MAIN ST BLACKFOOT, ID 83221 (208) 785-0270 |
| 1013677988 | RESTORATION CHIROPRACTIC LLC Organization | Chiropractor | 1395 NW MAIN ST BLACKFOOT, ID 83221 (208) 785-0270 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033674916, enumerated in the NPI registry as an "organization" on February 05, 2019
The provider is located at 1395 Nw Main St Blackfoot, Id 83221 and the phone number is (208) 785-0270
This medical organization specializes in Nurse Practitioner with taxonomy code 363L00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on February 05, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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