NPI age
19 years
Enumerated 2006-06-04
● Active Type 2 · Organization
Subpart
Liberty Dialysis - Idaho Falls Llc
Liberty Dialysis - Idaho Falls Llc is 1 of 46 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Blanton
Vice President
Last NPPES update
2023-10-17
Source: monthly bulk 2026-05
How this organization compares
Across 46 active clinic/center providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
2381 E Sunnyside Rd
Idaho Falls, ID 834047521
Mailing address
2381 E Sunnyside Rd
Idaho Falls, ID 834047521
Authorized official
Barry L. Blanton
Vice President
📞 7816999000
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Marianne Nelson, AG-ACNP Nurse Practitioner NPI 1861120180
- Lindsey Zirker, RD, LD Dietitian, Registered NPI 1568736056
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
LIBERTY DIALYSIS-IDAHO FALLS LLC
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Subpart of Fresenius Medical Care Holdings, Inc..
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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.