Active NPI
Stacy Reither
- Behavior Technician
- Meridian, ID
National Provider Identifier
1013766096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- PO Box 1658
Meridian, ID 83680-1658 - Phone
- (208) 949-7212
- NPI assigned
- May 14, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | ID | Primary |
Addresses
Primary practice location
PO Box 1658
Meridian, ID 83680-1658
Mailing address
PO Box 1658
Meridian, ID 83680-1658
Phone (208) 949-7212
Other names 1
- Stacy Leaman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1013766096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1658",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836801658",
"telephone_number": "208-949-7212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 1658",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836801658",
"telephone_number": "208-949-7212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REITHER",
"first_name": "STACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-14",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "ID",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACY",
"last_name": "LEAMAN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.