Home
/
Specialty
/
Nurse Practitioner
/
ID
/
NPI 1033674916
● 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
2019-02 Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
1395 Nw Main St
Blackfoot, ID 832213936
📞 2087850270 fax 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
Type Value Notes
01
1962456681
PERSONAL NPI
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
Plus 1 secondary practice location.
Provyx · Custom healthcare lists
Need all 658 Nurse Practitioner providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
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.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.