GARRET ANDERSON
NPI 1104717479
Student in an Organized Health Care Education/Training Program in Pocatello, ID

Active since July 14, 2025
921 S 8TH AVE STOP 8253, POCATELLO, ID 83209(208) 282-4726 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Garret Anderson NPPES

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

GARRET ANDERSON (NPI 1104717479) is an individual student in an organized health care education/training program in Pocatello, Idaho and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1104717479
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGARRET ANDERSON
Location Address921 S 8TH AVE STOP 8253Pocatello, ID 83209-0002
Mailing Address921 S 8th Ave Stop 8253Pocatello, ID 83209-0002 · (208) 282-4726
Sole ProprietorNo
Enumeration DateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
NPI 1104717479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
921 S 8TH AVE STOP 8253, Pocatello, ID 83209

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209

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 Garret Anderson's NPI number?

The NPI number for Garret Anderson is 1104717479. It was assigned to this individual provider in the NPPES registry on July 14, 2025.

Where is Garret Anderson located?

Garret Anderson practices at 921 S 8th Ave Stop 8253, Pocatello, ID 83209. The listed phone number is (208) 282-4726.

What is Garret Anderson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Garret Anderson was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.