P Praxis·MD
● Active Type 1 · Individual

Kimberly Jean Thomas, FNP-C

Nurse Practitioner·Pocatello, ID· NPI 1265155204 · Enumerated 2022 · 3 years on NPI
Thomas is 1 of 79 nurse practitioner providers in Pocatello and 1 of 1280 in Idaho.
NPI age
3 years
Enumerated 2022-09-23
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-09-23
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1280 active nurse practitioner providers in Idaho.

NPI age
3 years
↓ 4 yr below median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-09Enumerated in NPPES
2022 2026

Where they practice

Practice location
2010 Diane Ln
Pocatello, ID 832011908
📞 2082418630
Mailing address
2010 Diane Ln
Pocatello, ID 832011908
📞 2082418630

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #74181 taxonomy 363LF0000X

Identifiers

TypeValueNotes
01 (ID) 74181 APRN LICENSE

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 2 new nurse practitioner providers have been added in Pocatello 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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