NPI age
19 years
Enumerated 2006-07-12
● Active
Type 1 · Individual
MR. Randy Paul Vawdrey, NP
Vawdrey is 1 of 3 nurse practitioner providers in Pocatello and 1 of 79 in Idaho.
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 79 active nurse practitioner providers in Idaho.
NPI age
19 years
↑ 12 yr above median (7 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
39% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
495 Yellowstone Ave
Pocatello, ID 832014531
Mailing address
1743 Delmar Place
Pocatello, ID 83201
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.