P Praxis·MD
● Active Type 1 · Individual

Kaely Thompson, RN, IBCLC

Registered Nurse·Eagle, ID· NPI 1982211579 · Enumerated 2020 · 5 years on NPI
Thompson is 1 of 5 registered nurse providers in Eagle and 1 of 32 in Idaho.
NPI age
5 years
Enumerated 2020-09-28
Primary specialty
Registered Nurse
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-09-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 32 active registered nurse providers in Idaho.

NPI age
5 years
↑ 3 yr above median (2 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
3% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-09Enumerated in NPPES
2020 2026

Where they practice

Practice location
4389 W Agave St
Eagle, ID 836165308
📞 2086708704
Mailing address
4389 W Agave St
Eagle, ID 836165308

Specialties

  • Registered Nurse Primary
    Definition to come...
    ID license #L-144124 taxonomy 163WL0100X

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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