NPI age
4 years
Enumerated 2021-12-06
● Active
Type 1 · Individual
Lael Jo Reynolds
Reynolds is 1 of 1 registered nurse providers in Ammon and 1 of 1 in Idaho.
Primary specialty
Registered Nurse
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-12-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1 active registered nurse providers in Idaho.
NPI age
4 years
≈ at median (4 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
0% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-12Enumerated in NPPES
2021
2026
Where they practice
Practice location
2705 E 17th St
Ammon, ID 834066601
Mailing address
158 S 2nd E
Rexburg, ID 834401909
Specialties
-
Registered Nurse PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 116 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 1 Registered Nurse 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.