Active NPI
Lea Jo Piper
- Surgical Assistant
- Meridian, ID
National Provider Identifier
1174156418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 19-165
- Practice address
- 2855 E Magic View Dr
Meridian, ID 83642-6245 - Phone
- (208) 639-4900
- NPI assigned
- Feb 14, 2020
- Last updated
- Apr 19, 2021
- 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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 19-165 | ID | Primary |
Addresses
Primary practice location
2855 E Magic View Dr
Meridian, ID 83642-6245
Mailing address
3483 E Eisenhower Dr
Meridian, ID 83642-6019
Phone (208) 539-3340
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19-165 | ID | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618790400000",
"number": "1174156418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3483 E EISENHOWER DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426019",
"telephone_number": "208-539-3340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2855 E MAGIC VIEW DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426245",
"telephone_number": "208-639-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIPER",
"first_name": "LEA",
"middle_name": "JO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-14",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "ID",
"license": "19-165",
"primary": true
}
],
"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 Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.