NPI age
18 years
Enumerated 2007-06-07
● Active Type 2 · Organization
Asthma & Allergy Of Idaho
Asthma & Allergy Of Idaho is 1 of 658 nurse practitioner organizations in Idaho.
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wickern
Credentialing Specialist
Last NPPES update
2021-01-14
Source: monthly bulk 2026-05
How this organization compares
Across 658 active nurse practitioner providers in Idaho.
NPI age
18 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-06Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1502 Locust St N Ste 600
Twin Falls, ID 833014164
Mailing address
1502 Locust St N Ste 600
Twin Falls, ID 833014164
Authorized official
Andrew Wickern
Credentialing Specialist
📞 2087346091
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Shayne Stokes, MD Allergy & Immunology NPI 1225007644
- Gregory Wickern, M.D. Allergy & Immunology NPI 1972578672
- Clark Wyatt, NP-C Nurse Practitioner NPI 1215448246
Specialties
-
Nurse Practitioner Primary(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Asthma & Allergy of Idaho mid level group
-
Asthma & Allergy of Idaho mid level group
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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