NPI age
13 years
Enumerated 2013-05-01
● Active
Type 1 · Individual
Alexis R Siddoway, NP
Siddoway is 1 of 5 nurse practitioner providers in Idaho Falls and 1 of 34 in Idaho.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-10-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 34 active nurse practitioner providers in Idaho.
NPI age
13 years
↑ 5 yr above median (8 yr)
State licenses
1 state
41% of peers hold multiple states
Subspecialties
1
In the 55% of peers with subspecialties
NPI lifetime · 2013 → 2026
2013-05Enumerated in NPPES
2013
2026
Where they practice
Practice location
3100 Channing Way
Idaho Falls, ID 834047533
Mailing address
2860 Sunlight Dr
Idaho Falls, ID 834014807
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Registered Nurse(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
Practice context
Part of a multi-provider practice. 240 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- 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.