Individual provider Active NPI

Amylia May Shayne, DNP, FNP

  • Family Nurse Practitioner
  • Boise, ID
National Provider Identifier
1831853100
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61221885 Issued in WA
Practice address
2242 E Riverwalk Dr Ste 200
Boise, ID 83706-5483
Phone
(208) 495-4145
NPI assigned
Oct 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AP61221885 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 75473 ID
Family Nurse Practitioner 363LF0000X AP61221885 WA Primary

Addresses

Primary practice location

2242 E Riverwalk Dr Ste 200
Boise, ID 83706-5483

Mailing address

6132 S Ostrum Ave
Meridian, ID 83642-8694
Phone (206) 383-9762

Other practice location 1

3271 N Milwaukee St
Boise, ID 83704-4425
Phone (208) 996-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211203001994 WA Practitioner - Nurse Practitioner 8325438427 Reassigns benefits to 1 organization
I20230321002867 ID Practitioner - Nurse Practitioner 8325438427 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
75473IDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Sep 1, 2021 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Sep 1, 2021 Accepting new patients
Chatterton Speech Therapy, LLC CurrentSince Jun 17, 2024 Accepting new patients
Perma Mental Health PLLC Past Accepting new patients

Locations

8601 W Emerald St
Ste 150
Boise, ID 83704
Phone (208) 321-0634

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336

317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1634947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1831853100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6132 S OSTRUM AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428694",
            "telephone_number": "206-383-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2242 E RIVERWALK DR STE 200",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837065483",
            "telephone_number": "208-495-4145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3271 N Milwaukee St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837044425",
            "country_code": "US",
            "telephone_number": "208-996-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAYNE",
        "first_name": "AMYLIA",
        "middle_name": "MAY",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-23",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "AP61221885",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "75473",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61221885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.