Home
/
Specialty
/
Clinic/Center
/
ID
/
NPI 1043722259
● Active Type 2 · Organization
Subpart
Just 4 Kids Health Llc
Clinic/Center · Idaho Falls, ID · NPI 1043722259
·
Enumerated 2017 · 8 years on NPI
Just 4 Kids Health Llc is 1 of 41 clinic/center organizations in Idaho.
NPI age
8 years
Enumerated 2017-10-27
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
3
2 secondary on file
Status
Active
No deactivations on record
Authorized official
Gardner
President
Last NPPES update
2026-04-27
Source: monthly bulk 2026-05
How this organization compares
Across 41 active clinic/center providers in Idaho.
NPI age
8 years
↑ 3 yr above median
Practice locations
3
2 secondary on file
Subspecialties
1
In the 48% of peers with subspecialties
NPI lifetime · 2017 → 2026
2017-10 Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
3320 S 25th E
Idaho Falls, ID 834044606
📞 2086561500 fax 2086561502
Mailing address
Po Box 1407
Idaho Falls, ID 834031407
📞 2086567396
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
190 Bullock St
Chubbuck, ID 832021928
📞 2086561500 fax 2086561502
Location 3
1218 Bond Ave
Rexburg, ID 834403503
📞 2086096363 fax 2086561502
Authorized official
Aaron Gardner, MD
President
📞 2086567396
Individual providers at this organization
10 individual providers on file at this primary practice address.
Lauren Capson
Physician Assistant
NPI 1679298814
Colette Egbert , FNP-C
Nurse Practitioner
NPI 1649774860
Audrey Ferrin , FNP-BC
Nurse Practitioner
NPI 1144939471
Kristie Karroum , FNP-C
Nurse Practitioner
NPI 1922513886
Aaron Potter , PA-C
Physician Assistant
NPI 1639746787
Nephi Redd , D.O.
Pediatrics
NPI 1104188457
Haley Sheffield Evans , DNP, FNP, RN
Nurse Practitioner
NPI 1457020984
Lindsay Venn , R.D.L.D., PA-C
Physician Assistant
NPI 1467770792
Drue Winder , FNP
Nurse Practitioner
NPI 1346727153
Jaxson Zohner , PMHNP-BC
Nurse Practitioner
NPI 1689432676
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
10 individual providers on file at this primary address.
Plus 2 secondary practice locations.
Subpart of Just 4 Kids Health Llc .
Provyx · Custom healthcare lists
Need all 41 Clinic/Center 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.