NPI age
8 years
Enumerated 2018-02-26
● Active Type 2 · Organization
Family Medicine Hub Pllc
Family Medicine Hub Pllc is 1 of 658 nurse practitioner organizations in Idaho.
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cameron
Practice Manager
Last NPPES update
2024-11-12
Source: monthly bulk 2026-05
How this organization compares
Across 658 active nurse practitioner providers in Idaho.
NPI age
8 years
≈ at median (8 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-02Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
2001 S Woodruff Ave Ste 15b
Idaho Falls, ID 834046372
Mailing address
2001 S Woodruff Ave Ste 15b
Idaho Falls, ID 834046372
Authorized official
Shelly Cameron
Practice Manager
📞 2083574633
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Victoria Blair, NURSE PRACTITIONER Nurse Practitioner NPI 1629128483
- Zachary Buckland, FNP-C Family Medicine NPI 1629893177
- Bradley Radford, FNP-BC Nurse Practitioner NPI 1871191254
- Sunny Raichart, FNP Nurse Practitioner NPI 1720687106
- Jodie Stookey, APRN-CNP Nurse Practitioner NPI 1750090320
- J'Lene Ward, FNP Family Medicine NPI 1346884889
Specialties
-
Nurse Practitioner Primary(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1629128483 |
Other names on file (3)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Blair Family Medicine
-
Blair Family Medicine
-
Blair Family Medicine
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.