P Praxis·MD
● Active Type 1 · Individual

Katie Clegg, RTR

Radiology·Burley, ID· NPI 1518597285 · Enumerated 2020 · 6 years on NPI
Clegg is 1 of 4 radiology providers in Burley and 1 of 248 in Idaho.
NPI age
6 years
Enumerated 2020-01-22
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
OR
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-01-22
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 248 active radiology providers in Idaho.

NPI age
6 years
↓ 13 yr below median (19 yr)
State licenses
1 state
23% of peers hold multiple states
Subspecialties
1
In the 33% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-01Enumerated in NPPES
2020 2026

Where they practice

Practice location
593 W 24th St
Burley, ID 833182803
📞 5416904925
Mailing address
593 W 24th St
Burley, ID 833182803
📞 5416904925

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    OR license #910569 taxonomy 2085R0202X
  • Behavior Technician
    The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state...
    taxonomy 106S00000X

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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