P Praxis·MD
● Active Type 1 · Individual

Raina Shanks, D.O.

Emergency Medicine·Coeur D Alene, ID· NPI 1417008475 · Enumerated 2007 · 19 years on NPI
Shanks is 1 of 32 emergency medicine providers in Coeur D Alene and 1 of 336 in Idaho.
NPI age
19 years
Enumerated 2007-01-16
Primary specialty
Emergency Medicine
Plus 1 subspecialty
Licensed in
FL, TN
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-04-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 336 active emergency medicine providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 59% — 40% of peers are multi-state
Subspecialties
0
51% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
2003 Kootenai Health Way Fl Center1
Coeur D Alene, ID 838146051
📞 2086255700fax 2086255708
Mailing address
2003 Kootenai Health Way Fl Center1
Coeur D Alene, ID 838146051
📞 2086255700fax 2086255708

Additional practice locations

1 secondary location on file with NPPES.

Location 2
655 W 8th St # C506, Clinical Center, 1st Floor
Jacksonville, FL 322096511
📞 9042443837fax 9042444508

Specialties

  • Emergency Medicine Primary
    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
    FL license #UO1483TN license #5075 taxonomy 207P00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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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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