Organization Active NPI

Everest Mob

  • Surgery Physician
  • Meridian, ID
National Provider Identifier
1619643129
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
EVEREST MOB
Practice address
2960 E St Lukes St
Meridian, ID 83642
Phone
(208) 378-4264
NPI assigned
Aug 17, 2021
Organization subpart
Yes
Parent organization
EVEREST SURGICAL INSTITUTEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Authorized official

Name
Kate Armstrong, NPNPI 1730705856
Title
Nurse Practitioner
Phone
(503) 547-9251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

2960 E St Lukes St
Meridian, ID 83642

Mailing address

3875 E Overland Rd Ste 1C
Meridian, ID 83642-9005
Phone (208) 378-4264

National Provider Directory

National Provider Directory
Part of
Everest Surgical Institute

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1619643129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 E OVERLAND RD STE 1C",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429005",
            "telephone_number": "208-378-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 E ST LUKES ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-378-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST MOB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVEREST SURGICAL INSTITUTE",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "503-547-9251",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "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 Aug 17, 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.

Verify at the official NPI Registry.