P Praxis·MD
● Active Type 1 · Individual

Lita Elaine Johnson, CSFA

Specialist/Technologist, Other·Mountain Home, ID· NPI 1962370486 · Enumerated 2025 · 0 years on NPI
Johnson is 1 of 1 specialist/technologist, other providers in Mountain Home and 1 of 52 in Idaho.
NPI age
— years
Enumerated 2025-10-27
Primary specialty
Specialist/Technologist, Other
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 52 active specialist/technologist, other providers in Idaho.

NPI age
0 years
↓ 3 yr below median (3 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-10Enumerated in NPPES
2025 2026

Where they practice

Practice location
2845 Sw Heaton Ln
Mountain Home, ID 836476409
📞 2088038246
Mailing address
2845 Sw Heaton Ln
Mountain Home, ID 836476409
📞 2088038246

Specialties

  • Specialist/Technologist, Other Primary
    A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting,...
    ID license #100102656 taxonomy 246ZC0007X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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