Provider Demographics
NPI:1720582638
Name:SCHEINOST, AMIE L (NP)
Entity Type:Individual
Prefix:
First Name:AMIE
Middle Name:L
Last Name:SCHEINOST
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 61
Mailing Address - Street 2:
Mailing Address - City:SANTA
Mailing Address - State:ID
Mailing Address - Zip Code:83866-0061
Mailing Address - Country:US
Mailing Address - Phone:208-582-1737
Mailing Address - Fax:
Practice Address - Street 1:31 E DAVIS
Practice Address - Street 2:
Practice Address - City:SANTA
Practice Address - State:ID
Practice Address - Zip Code:83866
Practice Address - Country:US
Practice Address - Phone:208-245-6997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-23
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60833233363LA2100X
ID57894363LC1500X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Multi-Specialty
No363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health