P Praxis·MD
● Active Type 1 · Individual

Jamie Gudmunson

Nurse Practitioner·Saint Anthony, ID· NPI 1669853719 · Enumerated 2015 · 10 years on NPI
Gudmunson is 1 of 3 nurse practitioner providers in Saint Anthony and 1 of 1280 in Idaho.
NPI age
10 years
Enumerated 2015-06-15
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-01-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active nurse practitioner providers in Idaho.

NPI age
10 years
↑ 3 yr above median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-06Enumerated in NPPES
2015 2026

Where they practice

Practice location
30 W Main St
Saint Anthony, ID 834452113
📞 2086242969
Mailing address
30 W Main St
Saint Anthony, ID 834452113
📞 2086242969

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #NP-1574A taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 3 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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