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SCOTT DONALD WILLOUGHBY FNP-C NPI 1457897852


NPI Information

NPI: 1457897852
Provider Name: SCOTT DONALD WILLOUGHBY, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: PIONEER FAMILY MEDICINE PLLC

PECOS Registration: Yes

Address:
4740 N. PENNGROVE WAY
STE. 100
MERIDIAN, ID
ZIP 83646
Phone: (208) 938-3663
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Scott Donald Willoughby, FNP-C is a family nurse practitioner in Meridian, ID with 8 years of experience. Scott Donald Willoughby, FNP-C NPI is 1457897852. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4740 N. PENNGROVE WAY
STE. 100
MERIDIAN, ID
ZIP 83646
Phone: (208) 938-3663

The NPI 1457897852 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/10/2017 and was last updated on 1/20/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily54825IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.