P Praxis·MD
● Active Type 1 · Individual

DR. Nicole Shiree Burbank, MD

Radiology·Coeur D Alene, ID· NPI 1982621967 · Enumerated 2006 · 19 years on NPI
Burbank is 1 of 62 radiology providers in Coeur D Alene and 1 of 248 in Idaho.
NPI age
19 years
Enumerated 2006-07-16
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
ID, NC
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-05-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 248 active radiology providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 76% — 23% of peers are multi-state
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
700 W Ironwood Dr Ste 175
Coeur D Alene, ID 838144401
📞 2086256300fax 2086256301
Mailing address
700 W Ironwood Dr Ste 175
Coeur D Alene, ID 838144401
📞 2086256309fax 2086256310

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
📞 2086256360fax 2086256361

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    ID license #M-9657NC license #200300944 taxonomy 2085R0202X

Practice context

Part of a multi-provider practice. 32 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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