Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Santa Clara Pediatrics & Behavioral Health PC

Organization Pediatric Nurse Practitioner · NPI 1538911094

Santa Clara Pediatrics & Behavioral Health PC is a Pediatric Nurse Practitioner in Pocatello, Idaho. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

452 S 6th Ave
Pocatello, ID 83201-5810
Phone: (847) 970-8720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X

Record details

NPI number1538911094
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Caroline Sassetti — Owner · (847) 970-8720
NPI enumeratedApril 5, 2024
Last updated in NPPESApril 5, 2024
Certification dateApril 5, 2024
Mailing address452 S 6th Ave, Pocatello, ID 83201-5810

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