NPI age
17 years
Enumerated 2009-01-29
● Active
Type 1 · Individual
DR. Lisa K Taylor, MD
Taylor is 1 of 3 pediatrics providers in Boise and 1 of 4 in Idaho.
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
ID, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-12-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 4 active pediatrics providers in Idaho.
NPI age
17 years
≈ at median (18 yr)
State licenses
2 states
Top 25% — 75% of peers are multi-state
Subspecialties
1
In the 75% of peers with subspecialties
NPI lifetime · 2009 → 2026
2009-01Enumerated in NPPES
2009
2026
Where they practice
Practice location
222 N 2nd St, Suite 215
Boise, ID 837026109
Mailing address
190 E Bannock St
Boise, ID 837126241
Specialties
-
Pediatrics PrimaryA pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth...
-
PediatricsA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1962640920 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 26 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.