Active NPI
Cheryl Fish, NP
- Nurse Practitioner
- Meridian, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 60167
- Practice address
- 2667 E Gala CT Ste 110
Meridian, ID 83642-2791 - Phone
- (208) 944-2354
- NPI assigned
- Dec 16, 2018
- Last updated
- Sep 16, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 95010116 | CA | |
| Nurse Practitioner | 363L00000X | 60167 | ID | Primary |
| Registered Nurse | 163W00000X | 807738 | CA | |
| Nurse Practitioner | 363L00000X | 95010116 | CA |
Addresses
Primary practice location
2667 E Gala CT Ste 110
Meridian, ID 83642-2791
Mailing address
2667 E Gala CT Ste 110
Meridian, ID 83642-2791
Phone (208) 944-2354
Other practice location 1
6140 W Curtisian Ave
Ste 200
Boise, ID 83704
Phone (208) 302-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Primary Care, LLC | Current | Accepting new patients | |
| Legacy Primary Care, PLLC | Family Medicine | Past | Accepting new patients |
Locations
2273 E Gala St
Ste 120
Meridian, ID 83642
Phone (208) 247-1721
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Boise, ID
- NPI 1326891151
-
- Family Nurse Practitioner
- Garden City, ID
- NPI 1720847551
-
- Adult Health Nurse Practitioner
- Boise, ID
- NPI 1912416413
-
- Family Nurse Practitioner
- Boise, ID
- NPI 1871200758
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Meridian, ID
- NPI 1568289247
-
- Family Medicine Physician
- Sherman, TX
- NPI 1255907473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1083185235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2667 E GALA CT STE 110",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836422791",
"telephone_number": "208-944-2354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2667 E GALA CT STE 110",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836422791",
"telephone_number": "208-944-2354"
}
],
"practiceLocations": [
{
"address_1": "6140 W Curtisian Ave",
"address_2": "Ste 200",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "83704",
"country_code": "US",
"telephone_number": "208-302-0000",
"fax_number": "208-302-0055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISH",
"first_name": "CHERYL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-16",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95010116",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "60167",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "807738",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95010116",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 16, 2026; 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.