P Praxis·MD
● Active Type 1 · Individual

Brady Kyle Shepherd

Nurse Anesthetist, Certified Registered·Pocatello, ID· NPI 1093586158 · Enumerated 2024 · 2 years on NPI
Shepherd is 1 of 31 nurse anesthetist, certified registered providers in Pocatello and 1 of 575 in Idaho.
NPI age
2 years
Enumerated 2024-01-09
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 1 subspecialty
Licensed in
ID, UT
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-03-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 575 active nurse anesthetist, certified registered providers in Idaho.

NPI age
2 years
↓ 13 yr below median (15 yr)
State licenses
2 states
Top 81% — 18% of peers are multi-state
Subspecialties
1
In the 32% of peers with subspecialties

NPI lifetime · 2024 → 2026

2024-01Enumerated in NPPES
2024 2026

Where they practice

Practice location
777 Hospital Way
Pocatello, ID 832015175
📞 2082391000
Mailing address
3443 W Hamm Ln
Herriman, UT 840962110
📞 8018851570

Specialties

  • Nurse Anesthetist, Certified Registered Primary
    (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
    ID license #78781 taxonomy 367500000X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    UT license #10256717-3102 taxonomy 163W00000X

Practice context

Part of a multi-provider practice. 144 other active providers share this practice address in NPPES.

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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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