P Praxis·MD
● Active Type 1 · Individual

Clint Emmett, APRN

Nurse Practitioner·Moscow, ID· NPI 1467855403 · Enumerated 2014 · 11 years on NPI
Emmett is 1 of 3 nurse practitioner providers in Moscow and 1 of 374 in Idaho.
NPI age
11 years
Enumerated 2014-10-06
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID, NH
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-03-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 374 active nurse practitioner providers in Idaho.

NPI age
11 years
↑ 7 yr above median (4 yr)
State licenses
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-10Enumerated in NPPES
2014 2026

Where they practice

Practice location
875 Perimeter Dr # MS 3140
Moscow, ID 838442006
📞 2088856716fax 2088854354
Mailing address
600 E E St
Moscow, ID 838432713
📞 6039156135

Additional practice locations

1 secondary location on file with NPPES.

Location 2
111 N Washington St Ste 8
Moscow, ID 838432802
📞 6039156135

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #61523NH license #07060823 taxonomy 363LP0808X

Identifiers

TypeValueNotes
01 (NH) 07060823 NH APRN LICENSE
01 (ID) 61523 ID APRN LICENSE
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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