IndividualActive
Mary Randall, NP
NPI 1174871420 · Nurse Practitioner · Boise, ID
Mary Randall, NP is a Nurse Practitioner provider in Boise, ID (NPI 1174871420).
Provider details
- NPI number
- 1174871420
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- NP-1157A (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6140 W Curtisian Ave
Ste 200
Boise, ID 83704-8880
Phone: (208) 302-0000
Fax: (208) 302-0055
Street-level locationGet directions
Mailing address
3340 E Goldstone Way
Meridian, ID 83642-1026
Registry dates
- Enumerated
- 2012-08-16
- Last updated
- 2016-11-30
Frequently asked questions
- What is Mary Randall's NPI number?
- Mary Randall's National Provider Identifier (NPI) is 1174871420, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Randall's specialty?
- Mary Randall is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mary Randall located?
- Mary Randall's practice location on file with NPPES is 6140 W Curtisian Ave, Boise, ID 83704-8880.
- What is Mary Randall's phone number?
- The practice phone number listed in the NPPES registry for Mary Randall is (208) 302-0000.
- Is Mary Randall's NPI active?
- Yes — Mary Randall's NPI (1174871420) is active in the NPPES registry as of the last update on 2016-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.