OrganizationActive
Coeur D'Alene Pediatrics PA
NPI 1255496980 · Pediatrics Physician · Coeur D Alene, ID
Provider details
- NPI number
- 1255496980
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cari Warren, Office Administrator(208) 667-0585
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
700 W Ironwood Dr
Suite 155
Coeur D Alene, ID 83814-2656
Phone: (208) 667-0585
Fax: (208) 667-0876
Street-level locationGet directions
Mailing address
700 W Ironwood Dr
Coeur D Alene, ID 83814-2656
Registry dates
- Enumerated
- 2006-12-22
- Last updated
- 2025-05-29
- Certified
- 2025-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.