NPIMap

Individual provider Active NPI

Molly Beth Armijo, M.D.

  • Family Medicine Physician
  • Boise, ID
National Provider Identifier
1093750200
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MR0821 Issued in ID
Practice address
376 S Latah St
Boise, ID 83705-1539
Phone
(208) 579-5767
Fax
(208) 579-5766
NPI assigned
Jun 19, 2006
Last updated
Dec 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MR0821 ID Primary

Addresses

Primary practice location

376 S Latah St
Boise, ID 83705-1539

Mailing address

341 E Bannock St
Boise, ID 83712-6208
Phone (208) 579-5767

Other practice location 1

341 E Bannock St
Boise, ID 83712-6208
Phone (208) 579-5767

Other identifiers 1

IdentifierTypeStateIssuer
807192400MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080915000528 ID Practitioner - Family Practice 9931276029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boise Health Haus LLCGroup PAC ID 5193121119, 2 clinicians

Practice addresses (Care Compare)

2343 E Eastdale Dr
Boise, ID 83712-7555
Phone (208) 579-5767

341 E Bannock St
Boise, ID 83712-6208

376 S Latah St
Boise, ID 83705-1539
Phone (208) 579-5767

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MR0821IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kuna Healthcare Clinic, PLLC CurrentSince Mar 4, 2019 Accepting new patients
Boise Health Haus, LLC Family Medicine CurrentSince May 4, 2021 Accepting new patients
Jones Foot & Ankle LLC Past Accepting new patients

Locations

341 E Bannock St
Boise, ID 83712
Phone (208) 342-8180

376 S Latah St
Boise, ID 83705
Phone (208) 338-9111

943 N Linder Rd
Ste 103
Kuna, ID 83634
Phone (208) 565-0978

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCAFCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/HCAFCD/Endpoint/HCAFCD

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1093750200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126208",
            "telephone_number": "208-579-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 S LATAH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051539",
            "telephone_number": "208-579-5767",
            "fax_number": "208-579-5766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "341 E Bannock St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837126208",
            "country_code": "US",
            "telephone_number": "208-579-5767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARMIJO",
        "first_name": "MOLLY",
        "middle_name": "BETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "MR0821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807192400",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.