Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stephanie M Davis

Individual provider Nurse Practitioner · NPI 1972051423

Stephanie M Davis is a Nurse Practitioner in Meridian, Idaho. Graduated from Georgetown University School of Medicine in 2016, 10 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho, Washington and Wyoming.

Years since qualifying
10
Trained at
Georgetown University School of Medicine
Licensed in
ID, WA, WY
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

3525 E Louise Dr Ste 401
Meridian, ID 83642-6303
Phone: (208) 322-1680
Fax: (208) 322-1695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7320 216th St Sw Ste 210, Edmonds, WA 98026-8006 — (425) 744-1777

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4071397 (ID)
Nurse Practitioner Taxonomy 363L00000X · Licence AP61515215 (WA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 1682.1682 (WY)

Record details

NPI number1972051423
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 13, 2016
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Meridian