Individual provider Active NPI

Shaina Leeann Lonai

  • Family Nurse Practitioner
  • Wilder, ID
National Provider Identifier
1154033637
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53665 Issued in ID
Practice address
124 5TH St
Wilder, ID 83676-5540
Phone
(208) 482-7430
NPI assigned
Dec 16, 2022
Last updated
Dec 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53665 ID Primary

Addresses

Primary practice location

124 5TH St
Wilder, ID 83676-5540

Mailing address

911 7TH St S
Nampa, ID 83651-4121
Phone (509) 288-0941

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://westvalleymedgroup.com/locations/ Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230317002073 ID Practitioner - Nurse Practitioner 7214301035 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53665IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Advanced Psychiatry , LLC CurrentSince Feb 13, 2023 Accepting new patients
West Valley Medical Group LLC PastSince Dec 18, 2022 Accepting new patients

Locations

1672 S Woodsage Ave
Ste 120
Meridian, ID 83642
Phone (208) 515-2273

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.

NPI Registry JSON

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1154033637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 7TH ST S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514121",
            "telephone_number": "509-288-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 5TH ST",
            "city": "WILDER",
            "state": "ID",
            "postal_code": "836765540",
            "telephone_number": "208-482-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONAI",
        "first_name": "SHAINA",
        "middle_name": "LEEANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-16",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "53665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://westvalleymedgroup.com/locations/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "124 5th St",
            "city": "Wilder",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836765540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilder, ID

Sources for this page

Verify at the official NPI Registry.