P Praxis·MD
● Active Type 1 · Individual

Tarah Lynn Herdegen, FNP-C

Nurse Practitioner·Nampa, ID· NPI 1962174953 · Enumerated 2021 · 4 years on NPI
Herdegen is 1 of 59 nurse practitioner providers in Nampa and 1 of 1280 in Idaho.
NPI age
4 years
Enumerated 2021-09-29
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-04-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active nurse practitioner providers in Idaho.

NPI age
4 years
↓ 3 yr below median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-09Enumerated in NPPES
2021 2026

Where they practice

Practice location
9850 W St Lukes Dr Ste 180
Nampa, ID 836877912
📞 2083221680
Mailing address
9850 W St Lukes Dr Ste 180
Nampa, ID 836877912
📞 2083221680fax 2084618194

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #55734ID license #00000 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new nurse practitioner provider has been added in Nampa 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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