P Praxis·MD
● Active Type 1 · Individual

Amy Lynn Flack

Specialist·Coeur D Alene, ID· NPI 1578332854 · Enumerated 2023 · 2 years on NPI
Flack is 1 of 26 specialist providers in Coeur D Alene and 1 of 305 in Idaho.
NPI age
2 years
Enumerated 2023-12-27
Primary specialty
Specialist
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2023-12-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 305 active specialist providers in Idaho.

NPI age
2 years
↓ 16 yr below median (18 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-12Enumerated in NPPES
2023 2026

Where they practice

Practice location
1120 W Ironwood Dr
Coeur D Alene, ID 838142605
📞 2087692755
Mailing address
1120 W Ironwood Dr
Coeur D Alene, ID 838142605
📞 2087692755

Specialties

  • Specialist Primary
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    taxonomy 174400000X

Practice context

Solo or small practice. No 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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