Organization Active NPI

Gem Prep: Meridian North LLC

  • Local Education Agency (LEA)
  • Meridian, ID
National Provider Identifier
1205409729
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
GEM PREP: MERIDIAN NORTH LLC
Practice address
5390 N McDermott Rd
Meridian, ID 83646-2594
Phone
(208) 877-1513
Fax
(208) 877-1713
NPI assigned
Jul 22, 2021
Last updated
Sep 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Lori Bogar
Title
Director of Finance
Phone
(208) 877-1513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X NU Primary

Addresses

Primary practice location

5390 N McDermott Rd
Meridian, ID 83646-2594

Mailing address

PO Box 86
Deary, ID 83823-0086
Phone (208) 877-1513

National Provider Directory

National Provider Directory

Locations

5390 N McDermott Rd
Meridian, ID 83646
Phone (208) 877-1513

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1205409729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86",
            "city": "DEARY",
            "state": "ID",
            "postal_code": "838230086",
            "telephone_number": "208-877-1513",
            "fax_number": "208-877-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5390 N MCDERMOTT RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836462594",
            "telephone_number": "208-877-1513",
            "fax_number": "208-877-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEM PREP: MERIDIAN NORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-22",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "BOGAR",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "208-877-1513"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "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 Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.