P Praxis·MD
● Active Type 1 · Individual

MR. Jacob C Reedy, NP

Nurse Practitioner·Hayden, ID· NPI 1114530565 · Enumerated 2020 · 5 years on NPI
Reedy is 1 of 14 nurse practitioner providers in Hayden and 1 of 1280 in Idaho.
NPI age
5 years
Enumerated 2020-08-26
Primary specialty
Nurse Practitioner
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-12-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active nurse practitioner providers in Idaho.

NPI age
5 years
↓ 2 yr below median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-08Enumerated in NPPES
2020 2026

Where they practice

Practice location
1986 W. Hayden Ave
Hayden, ID 838357412
📞 2087627760fax 2087627740
Mailing address
1986 W. Hayden Ave
Hayden, ID 838357412
📞 2087627760fax 2087627740

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    TX license #1010320 taxonomy 363LF0000X

Practice context

Solo or small practice. No 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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