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BLUE LAKES MEDICINE PA
NPI 1063872489
Nurse Practitioner - Family in Twin Falls, ID

Active since February 26, 2016
1122 EASTLAND DR N, STE 2, TWIN FALLS, ID 83301(208) 734-9531(208) 733-6969 Get Directions Write a Review

NPPES record last updated: February 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blue Lakes Medicine Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE LAKES MEDICINE PA (NPI 1063872489) is a healthcare organization registered as a family in Twin Falls, Idaho and active in the NPI registry since February 2016. The organization lists Howard Rusty Arrington, Provider / Owner, as its authorized official.

NPPES Registry Identity

NPI1063872489
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBLUE LAKES MEDICINE PA
Location Address1122 EASTLAND DR N, STE 2Twin Falls, ID 83301-8444
Mailing Address1122 Eastland Dr N, Ste 2Twin Falls, ID 83301-8444 · (208) 734-9531 · Fax (208) 733-6969
Phone(208) 734-9531
Fax(208) 733-6969
Organization SubpartNo
Authorized OfficialHoward Rusty ArringtonProvider / Owner · (208) 734-9531
Enumeration DateFebruary 26, 2016
✔ NPI 1063872489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ID · NP-1688A
1122 EASTLAND DR N, Twin Falls, ID 83301
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Other Identifiers 1

Other1374328ID · Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Lakes Medicine PA's NPI number?

The NPI number for Blue Lakes Medicine PA is 1063872489. It was assigned to this organization in the NPPES registry on February 26, 2016.

Where is Blue Lakes Medicine PA located?

Blue Lakes Medicine PA is located at 1122 Eastland Dr N Ste 2, Twin Falls, ID 83301. The listed phone number is (208) 734-9531.

What is Blue Lakes Medicine PA's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Blue Lakes Medicine PA was last updated on February 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.