P Praxis·MD
● Active Type 2 · Organization

Advanced Integrated Medical Center

Nurse Practitioner·Blackfoot, ID· NPI 1033674916 · Enumerated 2019 · 7 years on NPI
Advanced Integrated Medical Center is 1 of 658 nurse practitioner organizations in Idaho.
NPI age
7 years
Enumerated 2019-02-05
Primary specialty
Nurse Practitioner
Plus 1 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Stevens
Owner/operator
Last NPPES update
2020-06-18
Source: monthly bulk 2026-05

How this organization compares

Across 658 active nurse practitioner providers in Idaho.

NPI age
7 years
≈ at median (8 yr)
Practice locations
2
1 secondary on file
Subspecialties
1
In the 34% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-02Enumerated in NPPES
2019 2026

Where they practice

Primary practice location
1395 Nw Main St
Blackfoot, ID 832213936
📞 2087850270fax 2087850683
Mailing address
1742 N 500 W Apt 102
Logan, UT 843412875
📞 4357641775

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1598 Delphic Way Ste A2
Pocatello, ID 832012200
📞 2082320220

Authorized official

Dee Stevens, DC
Owner/operator
📞 4357641775

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Nurse Practitioner Primary
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    taxonomy 363L00000X
  • Nurse Practitioner
    Definition to come...
    taxonomy 363LF0000X

Identifiers

TypeValueNotes
01 1962456681 PERSONAL NPI

Practice context

Multi-provider organization. 1 individual provider on file at this primary address. Plus 1 secondary practice location.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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