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BLAIR FAMILY MEDICINE
NPI 1134620107
Nurse Practitioner in Idaho Falls, ID

Active since February 26, 2018
2001 S WOODRUFF AVE STE 15B, IDAHO FALLS, ID 83404(208) 357-4633(208) 419-0690 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2024, Nov 22, 2022, Mar 12, 2018 and 2 more (5 updates tracked since 2018).

About Blair Family Medicine NPPES

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

BLAIR FAMILY MEDICINE (NPI 1134620107) is a healthcare organization registered as a nurse practitioner in Idaho Falls, Idaho and active in the NPI registry since February 2018. The organization lists Shelly Cameron, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1134620107
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameFAMILY MEDICINE HUB PLLC
Location Address2001 S WOODRUFF AVE STE 15BIdaho Falls, ID 83404-6372
Mailing Address2001 S Woodruff Ave Ste 15bIdaho Falls, ID 83404-6372 · (208) 357-4633 · Fax (208) 419-0690
Phone(208) 357-4633
Fax(208) 419-0690
Organization SubpartNo
Authorized OfficialShelly CameronPractice Manager · (208) 357-4633
Enumeration DateFebruary 26, 2018
Last NPPES UpdateNovember 12, 20245 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1134620107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2001 S WOODRUFF AVE STE 15B, Idaho Falls, ID 83404
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Other Names 1

Other NameBlair Family Medicine

Other Identifiers 1

Medicaid1629128483ID

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

Other Providers at the Same Location NPPES 7

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

J'LENE WARD FNP
Family Medicine
2001 S WOODRUFF AVE STE 15B
IDAHO FALLS, ID 83404
Bonneville County (208) 357-4633
VICTORIA L BLAIR NURSE PRACTITIONER
Nurse Practitioner
2001 S WOODRUFF AVE STE 15B
IDAHO FALLS, ID 83404
Bonneville County (208) 357-4633
ZACHARY D BUCKLAND FNP-C
Family Medicine
2001 S WOODRUFF AVE STE 15B
IDAHO FALLS, ID 83404
Bonneville County (208) 357-4633
MS. SUNNY RAICHART FNP
Nurse Practitioner (Family)
2001 S WOODRUFF AVE STE 15B
IDAHO FALLS, ID 83404
Bonneville County (208) 357-4633
JODIE KAYE STOOKEY APRN-CNP
Nurse Practitioner (Family)
2001 S WOODRUFF AVE STE 15B
IDAHO FALLS, ID 83404
Bonneville County (208) 357-4633
BRADLEY RADFORD FNP-BC
Nurse Practitioner (Primary Care)
2001 S WOODRUFF AVE STE 15B
IDAHO FALLS, ID 83404
Bonneville County (208) 357-4633
FLOWER ASTON NUTRITION LLC
Clinic/Center (Health Service)
2001 S WOODRUFF AVE STE 15B
IDAHO FALLS, ID 83404
Bonneville County (208) 716-2032

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 Family Medicine Hub PLLC's NPI number?

The NPI number for Family Medicine Hub PLLC is 1134620107. It was assigned to this organization in the NPPES registry on February 26, 2018. The provider is also known as Blair Family Medicine.

Where is Family Medicine Hub PLLC located?

Family Medicine Hub PLLC is located at 2001 S Woodruff Ave Ste 15B, Idaho Falls, ID 83404. The listed phone number is (208) 357-4633.

What is Family Medicine Hub PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Family Medicine Hub PLLC was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.