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MERIDIAN PHYSICAL MEDICINE
NPI 1881144780
Nurse Practitioner in Meridian, ID

Active since October 04, 2016
2016 S EAGLE RD, SUITE B, MERIDIAN, ID 83642(208) 887-6810(208) 887-6797 Get Directions Write a Review

NPPES record last updated: October 4, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Meridian Physical Medicine NPPES

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

MERIDIAN PHYSICAL MEDICINE (NPI 1881144780) is a healthcare organization registered as a nurse practitioner in Meridian, Idaho and active in the NPI registry since October 2016. The organization lists Makayla Runyan, Vice President, as its authorized official.

NPPES Registry Identity

NPI1881144780
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameMERIDIAN PHYSICAL MEDICINE
Location Address2016 S EAGLE RD, SUITE BMeridian, ID 83642-6707
Mailing Address2016 S Eagle Rd, Suite BMeridian, ID 83642-6707 · (208) 887-6810 · Fax (208) 887-6797
Phone(208) 887-6810
Fax(208) 887-6797
Organization SubpartNo
Authorized OfficialMakayla RunyanVice President · (208) 887-6810
Enumeration DateOctober 4, 2016
✔ NPI 1881144780 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-1345A
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.
2016 S EAGLE RD, Meridian, ID 83642
Open in Google Maps ↗

Other Identifiers 1

Other1790053338ID · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

BACK 2 LIFE MEDICAL INC
Nurse Practitioner
2016 S EAGLE RD
MERIDIAN, ID 83642
Ada County (208) 887-6810
JUSTIN DUDLEY GRIFFIN DC
Chiropractor
2016 S EAGLE RD
MERIDIAN, ID 83642
Ada County (208) 846-9062
ADVANCED MEDICAL CENTER
Nurse Practitioner
2016 S EAGLE RD
MERIDIAN, ID 83642
Ada County (208) 887-6810
INTERVENTIONAL PAIN SOLUTIONS PLLC
Specialist
2016 S EAGLE RD
MERIDIAN, ID 83642
Ada County (208) 284-6488
GRIFFIN CHIROPRACTIC PA
Chiropractor
2016 S EAGLE RD
MERIDIAN, ID 83642
Ada County (208) 887-6810
REBECCA LYNN KENT
Nurse Practitioner (Family)
2016 S EAGLE RD
MERIDIAN, ID 83642
Ada County (208) 887-6791
SARA ROSE
Massage Therapist
2016 S EAGLE RD
MERIDIAN, ID 83642
Ada County (208) 887-6810
DR. SHAUN MAR DC
Chiropractor
2016 S EAGLE RD
MERIDIAN, ID 83642
Ada County (208) 887-6810

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 Meridian Physical Medicine's NPI number?

The NPI number for Meridian Physical Medicine is 1881144780. It was assigned to this organization in the NPPES registry on October 4, 2016.

Where is Meridian Physical Medicine located?

Meridian Physical Medicine is located at 2016 S Eagle Rd Suite B, Meridian, ID 83642. The listed phone number is (208) 887-6810.

What is Meridian Physical Medicine'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 Meridian Physical Medicine was last updated on October 4, 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.