NPI age
19 years
Enumerated 2006-12-28
● Active Type 2 · Organization
Sara L. Johnson, MD
Sara L. Johnson, MD is 1 of 145 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Johnson
Owner
Last NPPES update
2008-06-17
Source: monthly bulk 2026-05
How this organization compares
Across 145 active clinic/center providers in Idaho.
NPI age
19 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
496 Shoup Ave W, Suite E
Twin Falls, ID 833015043
Mailing address
496 Shoup Ave W, Suite E
Twin Falls, ID 833015043
Authorized official
Sara Johnson, M.D.
Owner
📞 2087332885
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Michael Hazel, LPC Counselor NPI 1336943448
- Sara Johnson, MD Family Medicine NPI 1881601698
- Anna Makovec-Fuller, CFNP Nurse Practitioner NPI 1750396222
- Gladys Rasch, MPA-C Physician Assistant NPI 1194909598
- Ynez Shetler Counselor NPI 1598596041
- Katie Wyatt, NP-C Nurse Practitioner NPI 1114288891
Specialties
-
Clinic/Center PrimaryA facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 8H757 | BLUE CROSS OF IDAHO |
| 01 (ID) | 000010017978 | REGENCE BLUE SHIELD OF ID |
Practice context
Multi-provider organization. 6 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 →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.