P Praxis·MD
● Active Type 1 · Individual

Mary Laree Kenworthy

Licensed Practical Nurse·Boise, ID· NPI 1487267266 · Enumerated 2020 · 5 years on NPI
Kenworthy is 1 of 31 licensed practical nurse providers in Boise and 1 of 90 in Idaho.
NPI age
5 years
Enumerated 2020-08-31
Primary specialty
Licensed Practical Nurse
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-08-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 90 active licensed practical nurse providers in Idaho.

NPI age
5 years
≈ at median (5 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-08Enumerated in NPPES
2020 2026

Where they practice

Practice location
500 W Fort St Bldg 88
Boise, ID 837024598
📞 2084221000fax 2084221591
Mailing address
500 W Fort St Bldg 88
Boise, ID 837024598
📞 2084221000fax 2084221591

Specialties

  • Licensed Practical Nurse Primary
    An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience,...
    ID license #PN8104ID license #8104 taxonomy 164W00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 90 Licensed Practical Nurse providers in Idaho?

Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.

Request a quote →

How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related