NPI age
16 years
Enumerated 2009-07-07
● Active
Type 1 · Individual
Hailey J Rose, DO
Rose is 1 of 2 pediatrics providers in Bonners Ferry and 1 of 252 in Idaho.
Primary specialty
Pediatrics
Licensed in
SC
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-09-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 252 active pediatrics providers in Idaho.
NPI age
16 years
↓ 2 yr below median (18 yr)
State licenses
1 state
27% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties
NPI lifetime · 2009 → 2026
2009-07Enumerated in NPPES
2009
2026
Where they practice
Practice location
6615 Comanche St, Kaniksu Health Services
Bonners Ferry, ID 83805
Mailing address
Po Box Q, Kaniksu Health Services
Bonners Ferry, ID 838051200
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Practice context
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 252 Pediatrics providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.