P Praxis·MD
● Active Type 1 · Individual

Teirza D Bristow, ARNP

Nurse Practitioner·Kellogg, ID· NPI 1700363348 · Enumerated 2018 · 7 years on NPI
Bristow is 1 of 1 nurse practitioner providers in Kellogg and 1 of 79 in Idaho.
NPI age
7 years
Enumerated 2018-07-26
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-04-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 79 active nurse practitioner providers in Idaho.

NPI age
7 years
≈ at median (7 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
39% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-07Enumerated in NPPES
2018 2026

Where they practice

Practice location
100 McKinley Ave
Kellogg, ID 838372502
📞 2086672600fax 2086252051
Mailing address
613 McKinley Ave
Kellogg, ID 838372520

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #59228 taxonomy 363LP2300X

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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