Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MS. PENNY MICHELLE FAIRES M.D.
NPI 1700827508
Family Medicine in Boise, ID

Active since June 10, 2006
777 N RAYMOND ST, BOISE, ID 83704(208) 367-6030(208) 367-6123 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Penny Michelle Faires M.d. NPPES

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

MS. PENNY MICHELLE FAIRES M.D. (NPI 1700827508) is an individual family medicine provider in Boise, Idaho, licensed in Idaho (MR0824) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1700827508
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMS. PENNY MICHELLE FAIRESCredential: M.D.
Location Address777 N RAYMOND STBoise, ID 83704-9251
Mailing Address777 N Raymond StBoise, ID 83704-9251 · (208) 367-6030 · Fax (208) 367-6123
Fax(208) 367-6123
Sole ProprietorNo
Enumeration DateJune 10, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1700827508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ID · MR0824
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
777 N RAYMOND ST, Boise, ID 83704

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.

Family Medicine
777 N RAYMOND ST
BOISE, ID 83704
Family Medicine
777 N RAYMOND ST
BOISE, ID 83704
Family Medicine
777 N RAYMOND ST
BOISE, ID 83704
Social Worker (Clinical)
777 N RAYMOND ST
BOISE, ID 83704
Psychologist (Clinical)
777 N RAYMOND ST
BOISE, ID 83704
Family Medicine
777 N RAYMOND ST
BOISE, ID 83704
Family Medicine
777 N RAYMOND ST
BOISE, ID 83704
Nurse Practitioner
777 N RAYMOND ST
BOISE, ID 83704

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 Penny Faires's NPI number?

The NPI number for Penny Faires is 1700827508. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Penny Faires located?

Penny Faires practices at 777 N Raymond St, Boise, ID 83704. The listed phone number is (208) 367-6030.

What is Penny Faires's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Penny Faires was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.