P Praxis·MD
● Active Type 1 · Individual

Laura A Tabor, P.A.

Physician Assistant·Idaho Falls, ID· NPI 1538121322 · Enumerated 2006 · 20 years on NPI
Tabor is 1 of 44 physician assistant providers in Idaho Falls and 1 of 387 in Idaho.
NPI age
20 years
Enumerated 2006-04-05
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-07-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 387 active physician assistant providers in Idaho.

NPI age
20 years
↑ 5 yr above median (15 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-04Enumerated in NPPES
2006 2026

Where they practice

Practice location
1880 John Adams Pkwy
Idaho Falls, ID 834014315
📞 2085246633fax 2085249952
Mailing address
1880 John Adams Pkwy
Idaho Falls, ID 834014315
📞 2085246633fax 2085249952

Specialties

  • Physician Assistant Primary
    Definition to come...
    ID license #PA415 taxonomy 363AM0700X

Identifiers

TypeValueNotes
01 (ID) PAC63 BLUE CROSS PROVIDER NUMBE
05 (ID) 807659300
01 (ID) 8K123 BLUE CROSS GROUP
01 (ID) P00205234 RAILROAD MEDICARE NUMBER
01 (ID) 1134140148 BAKER FAMILY GROUP NPI
01 (ID) 000010027582 REGENCE BLUESHIELD GROUP
01 (ID) DE1614 RAILROAD MCR GROUP
01 (ID) 000010156316 REGENCE BLUE SHIELD
05 (ID) 806887600

Practice context

Part of a multi-provider practice. 8 other active providers share 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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