NPI age
19 years
Enumerated 2006-11-20
● Active
Type 1 · Individual
MISS Angharad Supe Lyon, PA-C
Lyon is 1 of 187 student in an organized health care education/training program providers in Pocatello and 1 of 516 in Idaho.
Primary specialty
Student in an Organized Health Care Education/Training Program
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 516 active student in an organized health care education/training program providers in Idaho.
NPI age
19 years
↑ 18 yr above median (1 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Practice location
Isu Student Health Ctr, 921 S. 8th St.
Pocatello, ID 832090001
Mailing address
69 Foothill Blvd
Pocatello, ID 832044063
Specialties
-
Student in an Organized Health Care Education/Training Program PrimaryAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 16 new student in an organized health care education/training program providers have been added in Pocatello in the last 180 days.
See all →
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.