P Praxis·MD
● Active Type 1 · Individual

Lucas Smith

Respite Care·Blackfoot, ID· NPI 1083480404 · Enumerated 2023 · 2 years on NPI
Smith is 1 of 1 respite care providers in Blackfoot and 1 of 8 in Idaho.
NPI age
2 years
Enumerated 2023-11-27
Primary specialty
Respite Care
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2023-11-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 8 active respite care providers in Idaho.

NPI age
2 years
↓ 2 yr below median (4 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
12% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-11Enumerated in NPPES
2023 2026

Where they practice

Practice location
861 Lakeside Dr
Blackfoot, ID 832211674
📞 2083607355
Mailing address
861 Lakeside Dr
Blackfoot, ID 832211674

Specialties

  • Respite Care Primary
    A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
    taxonomy 385HR2060X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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