P Praxis·MD
● Active Type 1 · Individual

MS. Carolyn Diane Swan

Contractor·Juliaetta, ID· NPI 1649439373 · Enumerated 2008 · 17 years on NPI
Swan is 1 of 1 contractor providers in Juliaetta and 1 of 3 in Idaho.
NPI age
17 years
Enumerated 2008-06-06
Primary specialty
Contractor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-06-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 3 active contractor providers in Idaho.

NPI age
17 years
↑ 8 yr above median (9 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
66% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-06Enumerated in NPPES
2008 2026

Where they practice

Practice location
417 Main St
Juliaetta, ID 835355003
📞 2082763174
Mailing address
417 Main St
Juliaetta, ID 835355003
📞 2082763174

Specialties

  • Contractor Primary
    A contractor who makes modifications to homes to accommodate a health condition.
    ID license #CFH20165 taxonomy 171WH0202X

Identifiers

TypeValueNotes
05 (ID) 807843600

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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