P Praxis·MD
● Active Type 1 · Individual

MRS. Jennifer Ann Gould

Radiologic Technologist·Chubbuck, ID· NPI 1457713588 · Enumerated 2016 · 10 years on NPI
Gould is 1 of 1 radiologic technologist providers in Chubbuck and 1 of 3 in Idaho.
NPI age
10 years
Enumerated 2016-03-28
Primary specialty
Radiologic Technologist
Licensed in
CA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-03-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 3 active radiologic technologist providers in Idaho.

NPI age
10 years
↓ 2 yr below median (12 yr)
State licenses
1 state
33% of peers hold multiple states
Subspecialties
0
66% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-03Enumerated in NPPES
2016 2026

Where they practice

Practice location
907 Ryan Street
Chubbuck, ID 83202
📞 4808232020
Mailing address
907 Ryan St
Chubbuck, ID 832023027
📞 4808232020

Specialties

  • Radiologic Technologist Primary
    A radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of...
    CA license #RHF69605 taxonomy 2471C3402X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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