| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1124307665 | HANSON | ERIK | K | 3340 E GOLDSTONE WAY | MERIDIAN | ID | 83642 | |
| 1346402757 | KNIERIM | ANN | ELIZABETH | 3340 E GOLDSTONE WAY | MERIDIAN | ID | 836421026 | |
| 1467618223 | SQUYER | EMILY | ROSE ANN | 3340 E GOLDSTONE WAY | MERIDIAN | ID | 836421026 |