PINECREST ACADEMY OF IDAHO (NPI# 1366059933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366059933 |
| Entity Type | Organization |
| Organization Name | PINECREST ACADEMY OF IDAHO |
| Practice Address |
209 5th Ave N Twin Falls ID 83301-6141 |
| Mailing Address |
6630 Surrey St Las Vegas NV 89119-3928 |
| Practice Telephone | 2089442129 |
| Mailing Telephone | 7024316260 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | TREVOR GOODSELL (CFO) |
| Authorized Official Telephone | 7024316260 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| Other Name | Type Code |
|---|---|
| Pinecrest Academy of Idaho | Doing Business As Name - Organization |
| Street Address |
209 5TH AVE N |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-6141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144551946 | Wings Charter Middle School, Inc. | Local Education Agency (LEA) | 647 Filer Ave Ste 100, Twin Falls, ID 83301-4008 | 2010-01-19 |
| 1912162009 | Xavier Charter School District 462 | Local Education Agency (LEA) | 771 N College Rd, Twin Falls, ID 83301-3382 | 2008-07-28 |
| 1497897326 | Twin Falls School District #411 | Local Education Agency (LEA) | 301 Main Ave W, Twin Falls, ID 83301-5901 | 2007-02-14 |
| 1730220237 | Idaho Dept of Health & Welfare Itp Region 5 | Local Education Agency (LEA) | 803 Harrison St, Twin Falls, ID 83301-3925 | 2007-02-09 |
| 1518089259 | Hts Inc. | Local Education Agency (LEA) | 426 Washington St N, Twin Falls, ID 83301-4650 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992312565 | Doral Academy Idaho | Local Education Agency (LEA) | 2511 W Cherry Ln, Meridian, ID 83642-1135 | 2020-09-28 |
| 1649895426 | Mosaics Public School Inc. | Local Education Agency (LEA) | 3121 Lincoln Rd, Caldwell, ID 83605-8171 | 2020-06-08 |
| 1285258921 | Anser of Idaho Inc. | Local Education Agency (LEA) | 202 E 42nd St, Garden City, ID 83714-6315 | 2020-05-28 |
| 1437795770 | Fern-waters Public Charter School Incorporated | Local Education Agency (LEA) | 103 Van Dreff St, Salmon, ID 83467-4116 | 2019-11-21 |
| 1912558008 | Forge International School | Local Education Agency (LEA) | 208 S Hartley Ln, Middleton, ID 83644 | 2019-09-20 |
| 1659925113 | Treasure Valley Classical Academy | Local Education Agency (LEA) | 500 Sw 3rd Street, Fruitland, ID 83619 | 2019-08-01 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1811464738 | Forrester Academy, Inc. | Local Education Agency (LEA) | 151 N Ridge Ave, Idaho Falls, ID 83402-4014 | 2018-10-29 |
| 1245715945 | Peace Valley Charter School | Local Education Agency (LEA) | 1845 S Federal Way, Boise, ID 83705-4261 | 2018-09-27 |
| 1629551676 | Project Impact Stem Academy, Inc. | Local Education Agency (LEA) | 2275 W Hubbard Rd, Kuna, ID 83634-1229 | 2018-09-14 |
| Find all providers with the same taxonomy | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on PINECREST ACADEMY OF IDAHO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.