P Praxis·MD
● Active Type 1 · Individual

DR. Trevor D. Tredennick, M.D.

Emergency Medicine·Emmett, ID· NPI 1649264052 · Enumerated 2005 · 20 years on NPI
Tredennick is 1 of 2 emergency medicine providers in Emmett and 1 of 336 in Idaho.
NPI age
20 years
Enumerated 2005-08-31
Primary specialty
Emergency Medicine
Licensed in
IL
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-12-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 336 active emergency medicine providers in Idaho.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
40% of peers hold multiple states
Subspecialties
0
51% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-08Enumerated in NPPES
2005 2026

Where they practice

Practice location
1202 E Locust St
Emmett, ID 836172715
📞 2083653561
Mailing address
1202 E Locust St
Emmett, ID 836172715
📞 2083653561

Specialties

  • Emergency Medicine Primary
    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
    IL license #036-112632 taxonomy 207P00000X

Identifiers

TypeValueNotes
05 (WA) 8420713
05 (IL) 036-112632

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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