NPI age
4 years
Enumerated 2021-06-04
● Active
Type 1 · Individual
Shelby Kaitlyn Gibbons, PA-C
Gibbons is 1 of 36 physician assistant providers in Boise and 1 of 97 in Idaho.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-05-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 97 active physician assistant providers in Idaho.
NPI age
4 years
↓ 9 yr below median (13 yr)
State licenses
2 states
Top 76% — 23% of peers are multi-state
Subspecialties
0
56% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-06Enumerated in NPPES
2021
2026
Where they practice
Practice location
2619 W Fairview Ave Ste 3100
Boise, ID 837026722
Mailing address
190 E Bannock St
Boise, ID 837126241
Additional practice locations
9 secondary locations on file with NPPES.
Location 2
2619 W Fairview Ave, Suite 3100
Boise, ID 83702
Location 3
2619 W Fairview Ave, Suite 3100
Boise, ID 83702
Location 4
4011 Talbot Rd S Ste 300
Renton, WA 980555791
Location 5
150 Andover Park W
Tukwila, WA 981882801
Location 6
27005 168th Pl Se Ste 201
Covington, WA 980424902
Location 7
24060 Se Kent Kangley Rd Ste D-100
Maple Valley, WA 980386851
Location 8
2619 W Fairview Ave Ste 3100
Boise, ID 837026722
Location 9
1620 Lake Tapps Pkwy Se Ste 115
Auburn, WA 980928376
Location 10
2619 W Fairview Ave Ste 3100
Boise, ID 837026722
Specialties
-
Physician Assistant PrimaryDefinition to come...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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