MARY S RANDALL NP
NPI 1174871420
Nurse Practitioner in Boise, ID

Q: What is Mary Randall's NPI number?

The NPI number for Mary Randall is 1174871420. It was assigned to this individual provider in the NPPES registry on August 16, 2012.

Q: What is Mary Randall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Randall was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 16, 2012

6140 W CURTISIAN AVE, STE 200, BOISE, ID 83704(208) 302-0000(208) 302-0055 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary S Randall Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY S RANDALL NP (NPI 1174871420) is an individual nurse practitioner in Boise, Idaho, licensed in Idaho (NP-1157A) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1174871420

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARY S RANDALLCredential: NP

Location Address6140 W CURTISIAN AVE, STE 200Boise, ID 83704-8880

Mailing Address3340 E Goldstone WayMeridian, ID 83642-1026 · (208) 302-0000 · Fax (208) 302-0055

Phone(208) 302-0000

Fax(208) 302-0055

Sole ProprietorNo

Enumeration DateAugust 16, 2012

Last NPPES UpdateNovember 30, 2016

✔ NPI 1174871420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in ID · NP-1157A

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

6140 W CURTISIAN AVE, Boise, ID 83704

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHERYL FISH NP

Nurse Practitioner

6140 W CURTISIAN AVE, STE 200
BOISE, ID 83704

Ada County (208) 302-0000

SAINT ALPHONSUS SPECIALTY SERVICES INC

Surgery (Trauma Surgery)

6140 W CURTISIAN AVE, STE 200
BOISE, ID 83704

Ada County (208) 367-4278

STEPHEN DONALD JONES MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

6140 W CURTISIAN AVE, STE 102
BOISE, ID 83704

Ada County (208) 302-0130

DR. CARL BEHRAM KAPADIA M.D., M.SC.

Internal Medicine (Interventional Cardiology)

6140 W CURTISIAN AVE, STE 200
BOISE, ID 83704

Ada County (208) 302-0000

AMBER MICHELE KIRTLEY-PEREZ PA

Physician Assistant

6140 W CURTISIAN AVE, STE 200
BOISE, ID 83704

Ada County (208) 302-0000

DR. CHRISTOPHER ANDREW REISING M.D.

Surgery

6140 W CURTISIAN AVE, STE 100
BOISE, ID 83704

Ada County (208) 302-2300

JEFFREY G FLAKER PA

Physician Assistant

6140 W CURTISIAN AVE, SUITE 400
BOISE, ID 83704

Ada County (208) 327-5600

J. ANTONIO G LOPEZ M.D.

Internal Medicine (Cardiovascular Disease)

6140 W CURTISIAN AVE, SUITE 200
BOISE, ID 83704

Ada County (208) 367-4278

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Randall's NPI number?

The NPI number for Mary Randall is 1174871420. It was assigned to this individual provider in the NPPES registry on August 16, 2012.

Where is Mary Randall located?

Mary Randall practices at 6140 W Curtisian Ave Ste 200, Boise, ID 83704. The listed phone number is (208) 302-0000.

What is Mary Randall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mary Randall was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.