P Praxis·MD
● Active Type 1 · Individual

Ashley Nichole Thomas, PA-C

Physician Assistant·Blackfoot, ID· NPI 1740590314 · Enumerated 2010 · 15 years on NPI
Thomas is 1 of 16 physician assistant providers in Blackfoot and 1 of 1263 in Idaho.
NPI age
15 years
Enumerated 2010-10-18
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-10-18
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1263 active physician assistant providers in Idaho.

NPI age
15 years
↑ 6 yr above median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-10Enumerated in NPPES
2010 2026

Where they practice

Practice location
710 E. Alice Street
Blackfoot, ID 83221
📞 2087851200
Mailing address
6286 S 5th Ave
Pocatello, ID 832042207
📞 2087666570

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    ID license #PA-862 taxonomy 363A00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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