Active NPI
Everest Mob
- Surgery Physician
- Meridian, ID
National Provider Identifier
1619643129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- 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 INSTITUTE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kate Armstrong, NP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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.
-
- Surgery Physician
- Meridian, ID
- NPI 1700552213
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Meridian, ID
- NPI 1730705856
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.