NPI 1669612271 · live from the CMS NPI Registry
5 Peppers INC.
Family Medicine in Nampa, ID. National Provider Identifier 1669612271, active.
NPI record
| NPI | 1669612271 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 217 W Georgia Ave Ste 120, Nampa, ID 83686 |
| Practice phone | 208-498-1760 |
| Mailing address | 353 W Iowa Ave, Nampa, ID 83686 |
| Enumerated | February 23, 2009 |
| Last updated | March 9, 2016 |
| Authorized official | Deo Peppersack, Owner |
| Other names | Dba Acacia Wellness Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | NP656A (ID) |
| Social Worker, Clinical | 1041C0700X | LMSW-27706 (ID) |
| Nurse Practitioner, Family | 363LF0000X | 656A (ID) |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.