{"npi":"1235288655","type":"NPI-2","status":"active","name":{"display":"Kootenai Health, Inc.","other":[],"organization_name":"KOOTENAI HEALTH, INC.","authorised_official":"Jon Ness"},"specialty":{"primary_taxonomy":"207P00000X","primary_taxonomy_description":"Emergency Medicine","slug":"emergency-medicine","schema_org_specialty":"Emergency","all":[{"code":"207T00000X","description":"Neurological Surgery Physician","primary":false,"state":null,"license":null},{"code":"207X00000X","description":"Orthopaedic Surgery","primary":false,"state":null,"license":null},{"code":"207Y00000X","description":"Otolaryngology Physician","primary":false,"state":"ID","license":"42"},{"code":"208000000X","description":"Pediatrics","primary":false,"state":null,"license":null},{"code":"208600000X","description":"Surgery","primary":false,"state":"ID","license":"42"},{"code":"208800000X","description":"Urology Physician","primary":false,"state":"ID","license":"42"},{"code":"213E00000X","description":"Podiatry","primary":false,"state":"ID","license":"42"},{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"ID","license":"42"},{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":"ID","license":"42"},{"code":"207P00000X","description":"Emergency Medicine","primary":true,"state":"ID","license":"42"}]},"addresses":[{"purpose":"LOCATION","street_1":"2003 KOOTENAI HEALTH WAY","city":"COEUR D ALENE","state":"ID","postal_code":"838146051","country_code":"US","phone":"2086254000"},{"purpose":"MAILING","street_1":"2003 KOOTENAI HEALTH WAY","city":"COEUR D ALENE","state":"ID","postal_code":"838146051","country_code":"US","phone":"2086254000"}],"license":{"state":"ID","number":"42"},"identifiers":[{"type_code":"01","label":"Other","value":"83758","state":"ID","issuer":"BLUE CROSS"},{"type_code":"01","label":"Other","value":"000010004926","state":"ID","issuer":"REGENCE BLUE SHIELD"},{"type_code":"05","label":"Medicaid","value":"805712000","state":"ID","issuer":null},{"type_code":"01","label":"Other","value":"CG7380","state":"ID","issuer":"RR MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20041214000230","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"ID","pac_id":"4789641598"}]},"enumeration_date":"2007-01-09","last_updated":"2024-01-05","_meta":{"source":"NPPES","snapshot_date":"2024-01-05","doc_url":"https://findmynpi.com/api"}}