1. Home
  2. Directory
  3. Idaho
  4. Falls
  5. Licensed Practical Nurse
  6. NPI Profile

DEENA SURERUS LPN
NPI 1497615090
Licensed Practical Nurse in Idaho Falls, ID

Active since November 15, 2025
2265 W BROADWAY ST, IDAHO FALLS, ID 83402(208) 524-7400(208) 524-8004 Get Directions Write a Review

NPPES record last updated: November 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deena Surerus Lpn NPPES

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

DEENA SURERUS LPN (NPI 1497615090) is an individual licensed practical nurse in Idaho Falls, Idaho, licensed in Idaho (1722) and active in the NPI registry since November 2025. She maintains a secondary practice location in Idaho Falls.

NPPES Registry Identity

NPI1497615090
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameDEENA SURERUSCredential: LPN
Location Address2265 W BROADWAY STIdaho Falls, ID 83402-2996
Mailing Address2265 W Broadway StIdaho Falls, ID 83402-2996 · (208) 524-7400 · Fax (208) 524-8004
Phone(208) 524-7400
Fax(208) 524-8004
Sole ProprietorNo
Enumeration DateNovember 15, 2025
NPPES CertifiedNovember 15, 2025
✔ NPI 1497615090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in ID · 1722
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2265 W BROADWAY ST, Idaho Falls, ID 83402
Open in Google Maps ↗

Secondary Practice Location 1

Location 12275 W Broadway St Ste GIdaho Falls, ID 83402-2902 · Phone (208) 524-7400 · Fax (208) 524-8004

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.

LIZA PAIGE HANSEN LCSW
Social Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
JUSTINE LYNNETTE KOHN
Community Health Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
IZABELLA KOON
Community Health Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
ERICA ALLRED
Community Health Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
KAYLNN JOHANSEN
Community Health Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
ALEXANDER SOREN TAVARES
Community Health Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
SHELBY JOHNSON
Community Health Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
DIANNE NICHOLS LCSW
Social Worker (Clinical)
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400

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 Deena Surerus's NPI number?

The NPI number for Deena Surerus is 1497615090. It was assigned to this individual provider in the NPPES registry on November 15, 2025.

Where is Deena Surerus located?

Deena Surerus practices at 2265 W Broadway St, Idaho Falls, ID 83402. The listed phone number is (208) 524-7400.

What is Deena Surerus's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Deena Surerus was last updated on November 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.