Everest Mob
Surgery in Meridian, ID. Organization (NPI-2).
NPI number1619643129
StatusActive
Last updated in NPPESAug 17, 2021
Details
- NPI
- 1619643129
- Entity type
- Organization (NPI-2)
- Legal business name
- Everest Mob
- Organization subpart
- Yes
- Enumeration date
- Aug 17, 2021
- Certification date
- Jul 22, 2021
- Last updated
- Aug 17, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
Practice location
2960 E St Lukes StMeridian, ID 83642
Phone 208-378-4264
Mailing address
3875 E Overland Rd Ste 1cMeridian, ID 83642-9005
Phone 208-378-4264
Authorized official
Kate Armstrong
Nurse Practitioner
5035479251
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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