NPI age
11 years
Enumerated 2014-06-16
● Active Type 2 · Organization
Foot & Ankle Specialists Of Idaho, P.c.
Foot & Ankle Specialists Of Idaho, P.c. is 1 of 67 podiatrist organizations in Idaho.
Primary specialty
Podiatrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Peterson
Doctor Of Podiatric Medicine
Last NPPES update
2014-09-17
Source: monthly bulk 2026-05
How this organization compares
Across 67 active podiatrist providers in Idaho.
NPI age
11 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-06Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
1277 E 17th St
Idaho Falls, ID 834046126
Mailing address
1277 E 17th St
Idaho Falls, ID 834046126
Authorized official
John D Peterson, DPM
Doctor Of Podiatric Medicine
📞 2083467443
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Lynetta Hagler, LCSW Counselor NPI 1316110273
- Ronda Knudsen, LPC Counselor NPI 1649444290
- Shon Shuldberg, LCSW Counselor NPI 1326212002
Specialties
-
Podiatrist PrimaryDefinition to come...
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 67 Podiatrist providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- 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.