P Praxis·MD
● Active Type 1 · Individual

Jacqueline King

Clinic/Center·Meridian, ID· NPI 1871749408 · Enumerated 2008 · 17 years on NPI
King is 1 of 18 clinic/center providers in Meridian and 1 of 99 in Idaho.
NPI age
17 years
Enumerated 2008-08-14
Primary specialty
Clinic/Center
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2008-08-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 99 active clinic/center providers in Idaho.

NPI age
17 years
≈ at median (18 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-08Enumerated in NPPES
2008 2026

Where they practice

Practice location
3630 E Louise Dr
Meridian, ID 836427975
📞 2083779515fax 2083779517
Mailing address
3630 E Louise Dr
Meridian, ID 836427975

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QA1903X

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new clinic/center provider has been added in Meridian in the last 180 days. See all →
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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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