P Praxis·MD
● Active Type 1 · Individual

Emily Boozalis, MD

Dermatology·Meridian, ID· NPI 1760927990 · Enumerated 2016 · 9 years on NPI
Boozalis is 1 of 21 dermatology providers in Meridian and 1 of 102 in Idaho.
NPI age
9 years
Enumerated 2016-12-25
Primary specialty
Dermatology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-06-04
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 102 active dermatology providers in Idaho.

NPI age
9 years
↓ 9 yr below median (18 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-12Enumerated in NPPES
2016 2026

Where they practice

Practice location
1618 S Millenium Way Ste 100
Meridian, ID 836426457
📞 2088843376fax 2088840858
Mailing address
1618 S Millenium Way Ste 100
Meridian, ID 836426457
📞 2088843376fax 2088840858

Specialties

  • Dermatology Primary
    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
    ID license #M17000 taxonomy 207N00000X

Practice context

Part of a multi-provider practice. 23 other active providers share 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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