P Praxis·MD
● Active Type 1 · Individual

Theresa A. Porcarelli, RDMS, RVT, RDCS

Radiologic Technologist·Hayden, ID· NPI 1538440821 · Enumerated 2011 · 14 years on NPI
Porcarelli is 1 of 2 radiologic technologist providers in Hayden and 1 of 12 in Idaho.
NPI age
14 years
Enumerated 2011-08-31
Primary specialty
Radiologic Technologist
Licensed in
MD
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-08-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 12 active radiologic technologist providers in Idaho.

NPI age
14 years
↑ 5 yr above median (9 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-08Enumerated in NPPES
2011 2026

Where they practice

Practice location
1076 W Hayden Ave
Hayden, ID 838358793
📞 2087722823
Mailing address
807 W Lakeshore Dr
Coeur D Alene, ID 838142131
📞 2086612366

Specialties

  • Radiologic Technologist Primary
    A radiologic technologist who specializes in sonography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of ultrasounds, exam techniques,...
    MD license #3082 taxonomy 2471S1302X

Practice context

Part of a multi-provider practice. 7 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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