P Praxis·MD
● Active Type 1 · Individual

MR. Samuel Teagan Shaw, FNP-C

Nurse Practitioner·Twin Falls, ID· NPI 1073248787 · Enumerated 2022 · 3 years on NPI
Shaw is 1 of 87 nurse practitioner providers in Twin Falls and 1 of 1280 in Idaho.
NPI age
3 years
Enumerated 2022-07-18
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-07-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active nurse practitioner providers in Idaho.

NPI age
3 years
↓ 4 yr below median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-07Enumerated in NPPES
2022 2026

Where they practice

Practice location
1835 Harrison St N Unit 16104
Twin Falls, ID 833014294
📞 2084313570
Mailing address
1835 Harrison St N Unit 16104
Twin Falls, ID 833014294
📞 2084313570

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1039 Blake St N
Twin Falls, ID 833013108
📞 2084313570

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #73570 taxonomy 363LF0000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 4 new nurse practitioner providers have been added in Twin Falls in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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