P Praxis·MD
● Active Type 1 · Individual

Shane Christopher Nelson, ATC

Specialist/Technologist·Garden City, ID· NPI 1114352358 · Enumerated 2013 · 12 years on NPI
Nelson is 1 of 1 specialist/technologist providers in Garden City and 1 of 326 in Idaho.
NPI age
12 years
Enumerated 2013-09-06
Primary specialty
Specialist/Technologist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-02-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 326 active specialist/technologist providers in Idaho.

NPI age
12 years
↑ 4 yr above median (8 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-09Enumerated in NPPES
2013 2026

Where they practice

Practice location
5600 W Glenwood St
Garden City, ID 83714
📞 3193254177
Mailing address
520 S Eagle Rd
Meridian, ID 836426351

Specialties

  • Specialist/Technologist Primary
    Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently,...
    ID license #AT-702 taxonomy 2255A2300X

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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