P Praxis·MD
● Active Type 1 · Individual

DR. Shannon Marie Tierney, MD

Psychiatry & Neurology·Boise, ID· NPI 1861055980 · Enumerated 2019 · 7 years on NPI
Tierney is 1 of 29 psychiatry & neurology providers in Boise and 1 of 85 in Idaho.
NPI age
7 years
Enumerated 2019-04-15
Primary specialty
Psychiatry & Neurology
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-08-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 85 active psychiatry & neurology providers in Idaho.

NPI age
7 years
↓ 11 yr below median (18 yr)
State licenses
1 state
30% of peers hold multiple states
Subspecialties
1
In the 41% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-04Enumerated in NPPES
2019 2026

Where they practice

Practice location
190 E Bannock St
Boise, ID 837126241
📞 2083817335fax 2083817227
Mailing address
190 E Bannock St
Boise, ID 837126241
📞 2083818752

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1959 Ne Pacific St
Seattle, WA 981950001
📞 7166221981

Specialties

  • Psychiatry & Neurology Primary
    A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
    ID license #M-17856 taxonomy 2084N0400X
  • Student in an Organized Health Care Education/Training Program
    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.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 671 other active providers share this practice address in NPPES.

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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.

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