Individual provider Active NPI

Liliana C Saunero-Nava, M.D.

  • Internal Medicine Physician
  • Lewiston, ID
National Provider Identifier
1902902737
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M-6696 Issued in ID
Practice address
222 Southway Ave Ste C
Lewiston, ID 83501-2703
Phone
(208) 743-8585
Fax
(208) 746-8090
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X M6696 ID
Internal Medicine Physician 207R00000X M-6696 ID Primary

Addresses

Primary practice location

222 Southway Ave Ste C
Lewiston, ID 83501-2703

Mailing address

222 Southway Suite C
Lewiston, ID 83501-2435

Other practice location 1

307 Saint Johns Way Ste 7
Lewiston, ID 83501-2435
Phone (208) 743-8585

Other identifiers 1

IdentifierTypeStateIssuer
M8042367MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060106000317 ID Practitioner - Internal Medicine 0840282299 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M6696IDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital LLC Internal Medicine CurrentSince May 1, 2017 Accepting new patients

Locations

307 Saint Johns Way
Ste 17
Lewiston, ID 83501
Phone (208) 746-7055

307 Saint Johns Way
Ste 7
Lewiston, ID 83501
Phone (208) 743-8585

341 Saint Johns Way
Lewiston, ID 83501
Phone (208) 750-7462

222 Southway Ave
Ste C
Lewiston, ID 83501
Phone (208) 746-1333

821 21st Ave
Lewiston, ID 83501
Phone (208) 799-3422

Organizations & group practices 1

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1902902737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SOUTHWAY SUITE C",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SOUTHWAY AVE STE C",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012703",
            "telephone_number": "208-743-8585",
            "fax_number": "208-746-8090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Saint Johns Way Ste 7",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ID",
            "postal_code": "835012435",
            "country_code": "US",
            "telephone_number": "208-743-8585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAUNERO-NAVA",
        "first_name": "LILIANA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ID",
            "license": "M6696",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M-6696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M8042367",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

Verify at the official NPI Registry.