NPI age
7 years
Enumerated 2018-09-06
● Active Type 2 · Organization
Lakeside Aesthetics - Llc
Lakeside Aesthetics - Llc is 1 of 79 nurse practitioner organizations in Idaho.
Primary specialty
Nurse Practitioner
Plus 3 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fuhrman
Owner/np
Last NPPES update
2019-03-06
Source: monthly bulk 2026-05
How this organization compares
Across 79 active nurse practitioner providers in Idaho.
NPI age
7 years
≈ at median (7 yr)
Practice locations
1
0 secondary on file
Subspecialties
3
In the 39% of peers with subspecialties
NPI lifetime · 2018 → 2026
2018-09Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
1005 Highway 2
Sandpoint, ID 838641702
Mailing address
Po Box 333
Sagle, ID 838600333
Authorized official
Kelly Fuhrman, NP
Owner/np
📞 2082903302
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Shawna Benner-Erickson, MPT Physical Therapist NPI 1699802553
- John Faggard, M.D. Specialist NPI 1194939421
- Kelly Fuhrman, ARNP FNP-BC Nurse Practitioner NPI 1750682605
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Family MedicineFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
-
Nurse Practitioner(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
-
Nurse PractitionerDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | NP1029A | IDAHO STATE LICENSE NUMBER |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Lakeside Medicine and Aesthetics LLC
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.