NPI age
14 years
Enumerated 2012-04-30
● Active Type 2 · Organization
Idaho State University
Idaho State University is 1 of 185 local education agency (lea) organizations in Idaho.
Primary specialty
Local Education Agency (LEA)
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fletcher
Vice President For Finance/admin
Last NPPES update
2012-04-30
Source: monthly bulk 2026-05
How this organization compares
Across 185 active local education agency (lea) providers in Idaho.
NPI age
14 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-04Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
921 S 8th Ave, Mail Stop 8219
Pocatello, ID 832098219
Mailing address
921 S 8th Ave, Mail Stop 8219
Pocatello, ID 832098219
Authorized official
James Fletcher
Vice President For Finance/admin
📞 2082823540
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Indianna Berg Student in an Organized Health Care Education/Training Program NPI 1366249534
- Baylee Biorn Specialist/Technologist NPI 1578422846
- Iris Bowler-Spohnholz Counselor NPI 1609756824
- Dillon Clark Student in an Organized Health Care Education/Training Program NPI 1255290524
- Joshua Crosgrove Student in an Organized Health Care Education/Training Program NPI 1871390054
- Hanna Crozier Student in an Organized Health Care Education/Training Program NPI 1023953486
- Cameron Davis Specialist/Technologist NPI 1861377004
- Katherine Estep Nurse Practitioner NPI 1356003800
- Kimberly Evans Student in an Organized Health Care Education/Training Program NPI 1962969816
- Bryan Fregoso Counselor NPI 1447138094
- Bailey Fry, ATS Specialist/Technologist NPI 1003525387
- Domenick Fuller, DDS Dentist NPI 1649063850
- Rachel Geoghegan, ATC Specialist/Technologist NPI 1326340324
- Daniel Green Student in an Organized Health Care Education/Training Program NPI 1902603186
- Melanie Hackett, PHARMD Pharmacist NPI 1922682152
- Katee Hubert Student in an Organized Health Care Education/Training Program NPI 1447082912
- Amy Hunt Student in an Organized Health Care Education/Training Program NPI 1437956612
- Aspyn Lacey Specialist/Technologist NPI 1740149012
- Alexandria Lacroix Student in an Organized Health Care Education/Training Program NPI 1720885908
- Michelle Metcalf, DMD Dentist NPI 1285003954
Specialties
-
Local Education Agency (LEA) PrimaryThe term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools...
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.