P Praxis·MD
● Active Type 1 · Individual

Angela Kirsten Johnston, NP-C

Nurse Practitioner·Idaho Falls, ID· NPI 1508483173 · Enumerated 2020 · 5 years on NPI
Johnston is 1 of 105 nurse practitioner providers in Idaho Falls and 1 of 1280 in Idaho.
NPI age
5 years
Enumerated 2020-06-30
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-06-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active nurse practitioner providers in Idaho.

NPI age
5 years
↓ 2 yr below median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-06Enumerated in NPPES
2020 2026

Where they practice

Practice location
2243 E 17th St
Idaho Falls, ID 834046519
📞 2088512381
Mailing address
422 Chesapeake Ave
Chubbuck, ID 832021674
📞 2088512381

Additional practice locations

1 secondary location on file with NPPES.

Location 2
422 Chesapeake Ave
Chubbuck, ID 832021674
📞 2088512381

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #65180 taxonomy 363LF0000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 3 new nurse practitioner providers have been added in Idaho Falls in the last 180 days. See all →
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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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