NPI age
19 years
Enumerated 2006-11-13
● Active Type 2 · Organization
Lifespan Primary Care Llc
Lifespan Primary Care Llc is 1 of 1280 nurse practitioner organizations in Idaho.
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hall
Owner
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 1280 active nurse practitioner providers in Idaho.
NPI age
19 years
↑ 12 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
224 Martin St, Suite B
Twin Falls, ID 833014542
Mailing address
224 Martin St, Suite B
Twin Falls, ID 833014542
Authorized official
Beverly Ann Hall, FNP-C
Owner
📞 2087367090
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Cystral Cavillo Counselor NPI 1407623465
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.