Active NPI
Benjamin Carey, NP
- Nurse Practitioner
- Meridian, ID
National Provider Identifier
1356977011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 57657
- Practice address
- 1859 S Topaz Way Ste 106
Meridian, ID 83642-4401 - Phone
- (208) 672-4640
- NPI assigned
- Mar 13, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 57657 | ID | Primary |
Addresses
Primary practice location
1859 S Topaz Way Ste 106
Meridian, ID 83642-4401
Mailing address
2715 S Bayou Bar Way
Meridian, ID 83642-6726
Phone (561) 714-2494
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57657 | ID | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elaine Key MD PLLC | Current | Accepting new patients |
Locations
1859 S Topaz Way
Ste 106
Meridian, ID 83642
Phone (208) 475-3720
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Boise, ID
- NPI 1245680099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584057600000",
"number": "1356977011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2715 S BAYOU BAR WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426726",
"telephone_number": "561-714-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1859 S TOPAZ WAY STE 106",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836424401",
"telephone_number": "208-672-4640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAREY",
"first_name": "BENJAMIN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-13",
"last_updated": "2020-03-13",
"certification_date": "2020-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "57657",
"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 Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.