OrganizationActive
Treasure Valley Healthcare PLLC
NPI 1336762566 · Gerontology Nurse Practitioner · Meridian, ID
Provider details
- NPI number
- 1336762566
- Entity type
- Organization
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Candice Adams, Ceo(208) 577-8672
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Adult Health Nurse Practitioner363LA2200X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1120 S Rackham Way
Meridian, ID 83642-1092
Phone: (208) 577-8672
Fax: (208) 209-6058
Street-level locationGet directions
Mailing address
5108 N Maidstone Way
Boise, ID 83713-1367
Additional practice locations (1)
- 5108 N Maidstone WayBoise, ID 83713-1367Phone: (208) 577-8672Fax: (208) 939-6106
Registry dates
- Enumerated
- 2020-05-21
- Last updated
- 2025-07-29
- Certified
- 2025-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.