Active NPI
Eunice Zhang Stallman, MD
- Psychiatry Physician
- Blackfoot, ID
National Provider Identifier
1891226338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- M16069
- Practice address
- 500 E Alice Street
Blackfoot, ID 83221 - Phone
- (425) 233-5749
- NPI assigned
- Mar 26, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | M16069 | ID | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
500 E Alice Street
Blackfoot, ID 83221
Mailing address
500 E Alice Street
Blackfoot, ID 83221
Phone (425) 233-5749
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M16069 | ID | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766102400000",
"number": "1891226338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E ALICE STREET",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "83221",
"telephone_number": "425-233-5749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E ALICE STREET",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "83221",
"telephone_number": "425-233-5749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALLMAN",
"first_name": "EUNICE",
"middle_name": "ZHANG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-26",
"last_updated": "2025-12-19",
"certification_date": "2025-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ID",
"license": "M16069",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blackfoot, ID
- Southeastern Idaho Developmental Center, Inc.
- Southeastern Idaho Developmental Center, Inc.
- Southeastern Idaho Developmental Center, Inc.
- Southeastern Idaho Developmental Center, Inc.
- Holly Maurine St. John, MOTR/L
- State of Idaho (State Hospital South Group)
- State of Idaho
- State of Idaho (State Hospital South Laboratory)
- State of Idaho Department of Health and Welfare
- State of Idaho Department of Health and Welfare (State Hospital South Medical Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.