NPI age
10 years
Enumerated 2015-09-18
● Active Type 2 · Organization
Petrie White Family Medicine Of Idaho
Petrie White Family Medicine Of Idaho is 1 of 1691 family medicine organizations in Idaho.
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
White
Clinic Administrator
Last NPPES update
2016-01-12
Source: monthly bulk 2026-05
How this organization compares
Across 1691 active family medicine providers in Idaho.
NPI age
10 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-09Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
2001 E Quail Run Rd
Emmett, ID 836175059
Mailing address
2001 E Quail Run Rd
Emmett, ID 836175059
Authorized official
Ryan Earl White, CRNA
Clinic Administrator
📞 2083657131
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Michele Miles, PA-C,MS Physician Assistant NPI 1710011325
- Jennifer Petrie, MD Family Medicine NPI 1891879094
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 805196400 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Emmett Family Medicine and Direct Primary Care
Practice context
Multi-provider organization. 2 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.