P Praxis·MD
● Active Type 1 · Individual

Lydia Rodriguez, WHNP

Nurse Practitioner·Mountain Home Afb, ID· NPI 1790149961 · Enumerated 2016 · 10 years on NPI
Rodriguez is 1 of 4 nurse practitioner providers in Mountain Home Afb and 1 of 56 in Idaho.
NPI age
10 years
Enumerated 2016-04-13
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
UT, IN
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-05-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 56 active nurse practitioner providers in Idaho.

NPI age
10 years
≈ at median (11 yr)
State licenses
2 states
Top 87% — 12% of peers are multi-state
Subspecialties
1
In the 28% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-04Enumerated in NPPES
2016 2026

Where they practice

Practice location
90 Hope Dr Bldg 6000
Mountain Home Afb, ID 836481062
📞 2088287111fax 2088287902
Mailing address
90 Hope Drve, Bldg 6000
Mountain Home, ID 83648
📞 2088287200fax 2088281046

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    UT license #9873492-4405 taxonomy 363LW0102X
  • Registered Nurse
    Definition to come...
    IN license #28164518A taxonomy 163WX0003X

Practice context

Part of a multi-provider practice. 53 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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