NPI age
16 years
Enumerated 2009-06-21
● Active
Type 1 · Individual
Kristina Coffey, PA
Coffey is 1 of 23 physician assistant providers in Eagle and 1 of 1263 in Idaho.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID, NC
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-05-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1263 active physician assistant providers in Idaho.
NPI age
16 years
↑ 7 yr above median (9 yr)
State licenses
2 states
Top 81% — 19% of peers are multi-state
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2009 → 2026
2009-06Enumerated in NPPES
2009
2026
Where they practice
Practice location
3101 E State St
Eagle, ID 836166232
Mailing address
190 E Bannock St
Boise, ID 837126241
Additional practice locations
5 secondary locations on file with NPPES.
Location 2
3025 Springbank Ln, Ste 100
Charlotte, NC 282263362
Location 3
1802 E Main St
Lincolnton, NC 280923915
Location 4
4525 Cameron Valley Pkwy, Ste 1500
Charlotte, NC 282114369
Location 5
9332 S Tryon St
Charlotte, NC 282733108
Location 6
705 Griffith St, Ste 100
Davidson, NC 280369304
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Practice context
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 1263 Physician Assistant 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 provider
- 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.