Active NPI
Mary Stone-Arave, NP
- Women's Health Nurse Practitioner
- Boise, ID
National Provider Identifier
1508837154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 281
- Practice address
- 222 N 2ND St Ste 206
Boise, ID 83702-6130 - Phone
- (208) 342-2516
- NPI assigned
- Jan 31, 2006
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 281 | ID | Primary |
Addresses
Primary practice location
222 N 2ND St Ste 206
Boise, ID 83702-6130
Mailing address
222 N 2ND St Ste 206
Boise, ID 83702-6130
Phone (208) 342-2516
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13D0521509 | Other | ID | CLIA LAB ID NUMBER |
| 805192300 | Medicaid | ID | |
| NP-281A | Other | ID | IDAHO STATE LICENSE |
| 000010139602 | Other | HI | REGENCE BLUE SHIELD OF ID |
| NPXP6 | Other | ID | BLUE CROSS OF IDAHO |
| N-14600 | Other | ID | IDAHO STATE LICENSE |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 281 | ID | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darin L. Weyhrich, M.D.,P.a. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/15672/brand/1/csg/1/fhir/r4
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.
-
- Obstetrics Physician
- Boise, ID
- NPI 1487773701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1508837154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 N 2ND ST STE 206",
"city": "BOISE",
"state": "ID",
"postal_code": "837026130",
"telephone_number": "208-342-2516",
"fax_number": "208-342-1661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 N 2ND ST STE 206",
"city": "BOISE",
"state": "ID",
"postal_code": "837026130",
"telephone_number": "208-342-2516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE-ARAVE",
"first_name": "MARY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "ID",
"license": "281",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA LAB ID NUMBER",
"identifier": "13D0521509",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805192300",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDAHO STATE LICENSE",
"identifier": "NP-281A",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD OF ID",
"identifier": "000010139602",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "NPXP6",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDAHO STATE LICENSE",
"identifier": "N-14600",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.