NPI age
6 years
Enumerated 2019-07-17
● Active Type 2 · Organization
Korena Popp Fnp Medical Services Llc
Korena Popp Fnp Medical Services Llc is 1 of 145 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Popp
NP
Last NPPES update
2019-07-17
Source: monthly bulk 2026-05
How this organization compares
Across 145 active clinic/center providers in Idaho.
NPI age
6 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-07Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
454 W Roseberry Rd. Ste 104
Donnelly, ID 836158361
Mailing address
Po Box 172
Donnelly, ID 836150172
Authorized official
Korena Lynn Popp
NP
📞 2083253500
Specialties
-
Clinic/Center PrimaryA facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
The Change Clinic
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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