Joni Evelyn Shriver, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

O-1014 Issued in ID

Practice address

645 E 5TH St
Weiser, ID 83672-2202

Phone

(208) 549-0370

NPI assigned

Apr 4, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, ID2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cep America, LLC

  dba Vituity

  • Emergency Medicine Physician
  • Boise, ID
  • NPI 1811357023
  Medicare reassignment NPD
• Weiser Valley Hospital District

  • Family Medicine Physician
  • Weiser, ID
  • NPI 1255364030
  Medicare reassignment NPD
• Integrative Emergency Services Physician Group-Houston PLLC

  dba IES Houston

  • Emergency Medicine Physician
  • Pasadena, TX
  • NPI 1801458708
  Medicare reassignment NPD
• Weiser Valley Hospital District

  dba Weiser Memorial Hospital

  • Critical Access Hospital
  • Weiser, ID
  • NPI 1881641629
  Medicare reassignment
• Cep America, LLC

  dba Vituity

  • Emergency Medicine Physician
  • Nampa, ID
  • NPI 1629438833
  NPD
• St Lukes Clinic-Treasure Valley LLC

  • Family Medicine Physician
  • Boise, ID
  • NPI 1326336058

  Emergency Medicine

  NPD
• Weiser Valley Hospital District

  • Critical Access Hospital
  • Boise, ID
  • NPI 1639373772
  NPD
• Weiser Valley Hospital District

  • Specialist
  • Weiser, ID
  • NPI 1932650561
  NPD
• Weiser Valley Hospital District

  • Critical Access Hospital
  • Weiser, ID
  • NPI 1720282866
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1063755346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 E 5TH ST",
            "city": "WEISER",
            "state": "ID",
            "postal_code": "836722202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 E 5TH ST",
            "city": "WEISER",
            "state": "ID",
            "postal_code": "836722202",
            "telephone_number": "208-549-0370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W. Fort St.",
            "address_2": "# 111",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "83702",
            "country_code": "US",
            "telephone_number": "208-422-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHRIVER",
        "first_name": "JONI",
        "middle_name": "EVELYN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-04",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q3099",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "DO176456",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "O-1014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Rodriguez
• Maria Anne Roscher
• Joan Diane Saario, LMFT
• Sacred Seasons Counseling PLLC
• Nerissa Marie Scott, PTA
• Special Gee Delivery Inc. (Special Delivery)
• Joshua Carl Stephenson
• Steven G Iwasa OD PLLC (Weiser Vision Clinic)
• Bradley Wescott Terry, D.O.
• The Sleep Center LLC

• Emergency Medicine Physician in Weiser, ID
• Providers in Weiser, ID by specialty
• Emergency Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.