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LIFESPAN FAMILY PRACTICE, LLC
NPI 1477883296
Nurse Practitioner - Family in Twin Falls, ID

Active since December 29, 2009
550 POLK ST, SUITE A, TWIN FALLS, ID 83301(208) 736-7090(208) 736-7089 Get Directions Write a Review

NPPES record last updated: March 28, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lifespan Family Practice, Llc NPPES

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

LIFESPAN FAMILY PRACTICE, LLC (NPI 1477883296) is a healthcare organization registered as a family in Twin Falls, Idaho and active in the NPI registry since December 2009. The organization lists Wendy Lee Mcknight, Owner, as its authorized official.

NPPES Registry Identity

NPI1477883296
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTW MCKNIGHT ENTERPRISES
Location Address550 POLK ST, SUITE ATwin Falls, ID 83301-3916
Mailing Address550 Polk St, Suite ATwin Falls, ID 83301-3916 · (208) 736-7090 · Fax (208) 736-7089
Phone(208) 736-7090
Fax(208) 736-7089
Organization SubpartNo
Authorized OfficialWendy Lee McknightOwner · (208) 736-7090
Enumeration DateDecember 29, 2009
Last NPPES UpdateMarch 28, 2011
✔ NPI 1477883296 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
550 POLK ST, Twin Falls, ID 83301
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Other Names 1

Doing Business AsLifespan Family Practice, Llc

Other Identifiers 1

Medicaid1477883296ID

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 5

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

ALLIANCE FAMILY SERVICES, INC.
Community/Behavioral Health
550 POLK ST, SUITE A
TWIN FALLS, ID 83301
Twin Falls County (208) 734-9619
DR. KELSIE HENDRICKSON PH.D.
Psychologist (Clinical)
550 POLK ST
TWIN FALLS, ID 83301
Twin Falls County (208) 814-9100
TONYA KLARE
Pharmacist
550 POLK ST
TWIN FALLS, ID 83301
Twin Falls County (208) 814-7375
TW MCKNIGHT ENTERPRISES
Behavior Analyst
550 POLK ST, SUITE A
TWIN FALLS, ID 83301
Twin Falls County (208) 736-7090
RANDALL J SLICKERS M.D.
Family Medicine
550 POLK ST, SUITE B
TWIN FALLS, ID 83301
Twin Falls County (208) 814-9040

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 Tw Mcknight Enterprises's NPI number?

The NPI number for Tw Mcknight Enterprises is 1477883296. It was assigned to this organization in the NPPES registry on December 29, 2009. The provider is doing business as Lifespan Family Practice, LLC.

Where is Tw Mcknight Enterprises located?

Tw Mcknight Enterprises is located at 550 Polk St Suite A, Twin Falls, ID 83301. The listed phone number is (208) 736-7090.

What is Tw Mcknight Enterprises'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 Tw Mcknight Enterprises was last updated on March 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.