Anthony Liccini
NPI 1225569551 · Pediatrics Physician · Boise, ID
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Anthony Liccini is a Pediatrics Physician provider in Boise, ID (NPI 1225569551).
Provider details
- NPI number
- 1225569551
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- MD61058990 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 510 W 1st AveToppenish, WA 98948-1564Phone: (509) 865-5600Fax: (509) 865-5783
Registry dates
- Enumerated
- 2017-03-27
- Last updated
- 2022-08-19
- Certified
- 2022-08-19
Frequently asked questions
- What is Anthony Liccini's NPI number?
- Anthony Liccini's National Provider Identifier (NPI) is 1225569551, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Anthony Liccini's specialty?
- Anthony Liccini is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Anthony Liccini located?
- Anthony Liccini's practice location on file with NPPES is 305 E Jefferson St, Boise, ID 83712-6231.
- What is Anthony Liccini's phone number?
- The practice phone number listed in the NPPES registry for Anthony Liccini is (208) 345-0715.
- Does Anthony Liccini accept Medicare?
- Anthony Liccini is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Anthony Liccini's NPI active?
- Yes — Anthony Liccini's NPI (1225569551) is active in the NPPES registry as of the last update on 2022-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.