P Praxis·MD
● Active Type 1 · Individual

Ty Alan Cottle, PMHNP-BC

Nurse Practitioner·Rigby, ID· NPI 1871304238 · Enumerated 2025 · 1 years on NPI
Cottle is 1 of 3 nurse practitioner providers in Rigby and 1 of 374 in Idaho.
NPI age
1 years
Enumerated 2025-01-15
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-03-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 374 active nurse practitioner providers in Idaho.

NPI age
1 years
↓ 3 yr below median (4 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-01Enumerated in NPPES
2025 2026

Where they practice

Practice location
711 Rigby Lake Dr Ste 600
Rigby, ID 834425372
📞 2089739413fax 2082160228
Mailing address
Po Box 321
Lewisville, ID 834310321
📞 2089739413fax 2082160228

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2081 Roza Dr
Zillah, WA 989539361
📞 2089739413fax 2082160228

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #1471648 taxonomy 363LP0808X

Practice context

Part of a multi-provider practice. 2 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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