P Praxis·MD
● Active Type 1 · Individual

Christina Goodman, PA

Physician Assistant·Rexburg, ID· NPI 1780691394 · Enumerated 2006 · 19 years on NPI
Goodman is 1 of 11 physician assistant providers in Rexburg and 1 of 387 in Idaho.
NPI age
19 years
Enumerated 2006-08-03
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 387 active physician assistant providers in Idaho.

NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
100 Student Health Center Building
Rexburg, ID 83440
📞 2084961300fax 2084961306
Mailing address
490 Pioneer Rd Apt 1204
Rexburg, ID 834403799
📞 2083516470

Specialties

  • Physician Assistant Primary
    Definition to come...
    ID license #PA591 taxonomy 363AM0700X

Practice context

Solo or small practice. No 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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