P Praxis·MD
● Active Type 1 · Individual

MISS Gina Celine Cordero, LAT, ATC

Specialist/Technologist·Meridian, ID· NPI 1558826347 · Enumerated 2019 · 7 years on NPI
Cordero is 1 of 15 specialist/technologist providers in Meridian and 1 of 326 in Idaho.
NPI age
7 years
Enumerated 2019-02-05
Primary specialty
Specialist/Technologist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-02-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 326 active specialist/technologist providers in Idaho.

NPI age
7 years
≈ at median (8 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-02Enumerated in NPPES
2019 2026

Where they practice

Practice location
520 S Eagle Rd Ste 3213
Meridian, ID 836426356
📞 2087062663
Mailing address
520 S Eagle Rd Ste 3213
Meridian, ID 836426356

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1010 W Washington St
Boise, ID 837025446
📞 2088544304

Specialties

  • Specialist/Technologist Primary
    Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently,...
    ID license #AT-676 taxonomy 2255A2300X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new specialist/technologist provider has been added in Meridian 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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