NPI age
7 years
Enumerated 2018-06-18
● Active
Type 1 · Individual
DR. Tysen L Weber, MD
Weber is 1 of 10 pediatrics providers in Lewiston and 1 of 252 in Idaho.
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-04-15
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
7 years
↓ 11 yr below median (18 yr)
State licenses
2 states
Top 73% — 27% of peers are multi-state
Subspecialties
0
34% of peers hold subspecialties
NPI lifetime · 2018 → 2026
2018-06Enumerated in NPPES
2018
2026
Where they practice
Practice location
2315 8th St
Lewiston, ID 835017301
Mailing address
2216 Vineyard Ave
Lewiston, ID 835016352
Additional practice locations
1 secondary location on file with NPPES.
Location 2
2216 Vineyard Ave
Lewiston, ID 835016352
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 1730673419 | |
| 05 (ID) | 1730673419 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 56 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
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- 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.