P Praxis·MD
● Active Type 1 · Individual

Laura Ivie, PA-C

Physician Assistant·Idaho Falls, ID· NPI 1205135456 · Enumerated 2011 · 15 years on NPI
Ivie is 1 of 105 physician assistant providers in Idaho Falls and 1 of 1263 in Idaho.
NPI age
15 years
Enumerated 2011-03-26
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-03-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1263 active physician assistant providers in Idaho.

NPI age
15 years
↑ 6 yr above median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-03Enumerated in NPPES
2011 2026

Where they practice

Practice location
3360 Washington Pkwy Ste 1
Idaho Falls, ID 834048333
📞 2085243416fax 2085243138
Mailing address
3360 Washington Pkwy Ste 1
Idaho Falls, ID 834048333
📞 2085243416

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    ID license #PA-938 taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 3 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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