P Praxis·MD
● Active Type 1 · Individual

Autumn Grant, FNP

Nurse Practitioner·Meridian, ID· NPI 1184206872 · Enumerated 2021 · 5 years on NPI
Grant is 1 of 123 nurse practitioner providers in Meridian and 1 of 1280 in Idaho.
NPI age
5 years
Enumerated 2021-04-22
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID, AZ
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-11-14
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
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-04Enumerated in NPPES
2021 2026

Where they practice

Practice location
1430 W Ustick Rd Ste 100
Meridian, ID 836467734
📞 2082868670
Mailing address
1430 W Ustick Rd Ste 100
Meridian, ID 836467734

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #77541AZ license #260694 taxonomy 363LF0000X

Identifiers

TypeValueNotes
01 F03211332 AMERICAN ACADEMY OF NURSE PRACTITIONERS
01 (AZ) 260694 ARIZONA STATE BOARD OF NURSING
01 (ID) 77541 IDAHO BOARD OF NURSING
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Recently enumerated nearby: 4 new nurse practitioner providers have been added in Meridian in the last 180 days. See all →
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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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