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CHEYENNE SUMMER LILLIS MAT, LAT, ATC, NREMT
NPI 1376392506
Student in an Organized Health Care Education/Training Program in Boise, ID

Active since May 20, 2024
6165 W EMERALD ST, BOISE, ID 83704(208) 302-3900 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, May 30, 2025 (2 updates tracked since 2025).

About Cheyenne Summer Lillis Mat, Lat, Atc, Nremt NPPES

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

CHEYENNE SUMMER LILLIS MAT, LAT, ATC, NREMT (NPI 1376392506) is an individual student in an organized health care education/training program in Boise, Idaho and active in the NPI registry since May 2024. She maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1376392506
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCHEYENNE SUMMER LILLISCredential: MAT, LAT, ATC, NREMT
Location Address6165 W EMERALD STBoise, ID 83704-8613
Mailing Address33 E Idaho Ave Unit 319bMeridian, ID 83642-1144
Phone(208) 302-3900
Sole ProprietorNo
Enumeration DateMay 20, 2024
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1376392506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
6165 W EMERALD ST, Boise, ID 83704
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Secondary Practice Location 1

Location 12000 W Boise Ave Apt 4Boise, ID 83706-3106 · Phone (208) 660-9195

Other Providers at the Same Location NPPES 19

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

TRACYE JEAN-MARIE LAWYER MD, PHD
Orthopaedic Surgery
6165 W EMERALD ST
BOISE, ID 83704
Ada County (208) 302-3900
MEGAN ELAINE HUNT PA
Physician Assistant
6165 W EMERALD ST
BOISE, ID 83704
Ada County (208) 302-3900
DANIEL ASHER BECHTOLD MD
Orthopaedic Surgery
6165 W EMERALD ST
BOISE, ID 83704
Ada County (208) 302-3500
ERIC CULBERTSON PA
Physician Assistant (Medical)
6165 W EMERALD ST
BOISE, ID 83704
Ada County (208) 302-3500
JONATHAN J VAUX D.O.
Orthopaedic Surgery
6165 W EMERALD ST
BOISE, ID 83704
Ada County (208) 302-3500
NIKOLA ANN CAFARELLI PA
Physician Assistant
6165 W EMERALD ST
BOISE, ID 83704
Ada County (208) 302-3900
ROBERT CHASE MCDONALD PA-C
Physician Assistant
6165 W EMERALD ST
BOISE, ID 83704
Ada County (208) 302-3500
MASON BRANDON RANKIN PA
Physician Assistant
6165 W EMERALD ST
BOISE, ID 83704
Ada County (208) 302-3500

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 Cheyenne Lillis's NPI number?

The NPI number for Cheyenne Lillis is 1376392506. It was assigned to this individual provider in the NPPES registry on May 20, 2024.

Where is Cheyenne Lillis located?

Cheyenne Lillis practices at 6165 W Emerald St, Boise, ID 83704. The listed phone number is (208) 302-3900.

What is Cheyenne Lillis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Cheyenne Lillis was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.