P Praxis·MD
● Active Type 2 · Organization

Blue Lakes Medicine PA

Nurse Practitioner·Twin Falls, ID· NPI 1063872489 · Enumerated 2016 · 10 years on NPI
Blue Lakes Medicine PA is 1 of 1280 nurse practitioner organizations in Idaho.
NPI age
10 years
Enumerated 2016-02-26
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Arrington
Provider / Owner
Last NPPES update
2016-02-26
Source: monthly bulk 2026-05

How this organization compares

Across 1280 active nurse practitioner providers in Idaho.

NPI age
10 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2016 → 2026

2016-02Enumerated in NPPES
2016 2026

Where they practice

Primary practice location
1122 Eastland Dr N, Ste 2
Twin Falls, ID 833018444
📞 2087349531fax 2087336969
Mailing address
1122 Eastland Dr N, Ste 2
Twin Falls, ID 833018444
📞 2087349531fax 2087336969

Authorized official

Howard Rusty Arrington, FNP-C, DC
Provider / Owner
📞 2087349531

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #NP-1688A taxonomy 363LF0000X

Identifiers

TypeValueNotes
01 (ID) 1374328 MEDICARE PTAN

Practice context

Single-site organization. Only one practice location on file.

Provyx · Custom healthcare lists

Need all 1280 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

  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.

Related