OrganizationActive
Corbett Sousa
NPI 1417442484 · Point of Service · Nampa, ID
Provider details
- NPI number
- 1417442484
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Katy Simmons, Credentialing/Billing(208) 452-6580
- License
- 37239 (ID)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
16 12th Ave S Ste 208
Nampa, ID 83651-3937
Phone: (208) 649-6048
Fax: (208) 906-2343
Street-level locationGet directions
Mailing address
16 12th Ave S Ste 208
Nampa, ID 83651-3937
Other names (DBA / former)
- Other name
- Achieving Family Wellness LLC
Registry dates
- Enumerated
- 2018-06-22
- Last updated
- 2018-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.