Active NPI
Mayo Family Healthcare PLLC
- Primary Care Nurse Practitioner
- Nampa, ID
National Provider Identifier
1770129322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- MAYO FAMILY HEALTHCARE PLLC
- Practice address
- 5826 E Franklin Rd
Nampa, ID 83687-5020 - Phone
- (208) 318-1619
- Fax
- (208) 318-1612
- NPI assigned
- Nov 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Billiesue Mayo, NP
- Title
- Owner/NP
- Phone
- (208) 318-1619
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | |||
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
5826 E Franklin Rd
Nampa, ID 83687-5020
Mailing address
5826 E Franklin Rd
Nampa, ID 83687-5020
Phone (208) 318-1619
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770129322 | Medicaid | ID | |
| 1396245742 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5826 E Franklin Rd
Nampa, ID 83687
Phone (208) 408-0060
1901 Caldwell Blvd
Ste 1044
Nampa, ID 83651
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- McCall, ID
- NPI 1902507569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761868800000",
"number": "1770129322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5826 E FRANKLIN RD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836875020",
"telephone_number": "208-318-1619",
"fax_number": "208-318-1612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5826 E FRANKLIN RD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836875020",
"telephone_number": "208-318-1619",
"fax_number": "208-318-1612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAYO FAMILY HEALTHCARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-19",
"last_updated": "2025-10-31",
"certification_date": "2025-10-31",
"status": "A",
"authorized_official_last_name": "MAYO",
"authorized_official_first_name": "BILLIESUE",
"authorized_official_title_or_position": "OWNER/NP",
"authorized_official_telephone_number": "208-318-1619",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1770129322",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396245742",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.