Active NPI
Liliana C Saunero-Nava, M.D.
- Internal Medicine Physician
- Lewiston, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- M-6696
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M8042367 | Medicaid | ID |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M6696 | ID | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph Hospital LLC | Internal Medicine | Current | 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.
-
- Internal Medicine Physician
- Lewiston, ID
- NPI 1205368404
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.