Alexis R Siddoway, NP - Nurse Practitioner in Idaho Falls, ID

Alexis R Siddoway, NP is a Nurse Practitioner - Neonatal based in Idaho Falls, Idaho. Alexis R Siddoway is licensed to practice in Idaho (license number NP1309A) and her current practice location is 3100 Channing Way, Idaho Falls, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 535-4432.

NPI number for Alexis R Siddoway is 1013352285 and her current mailing address is 2860 Sunlight Dr, Idaho Falls, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013352285.

Contact Information

Alexis R Siddoway, NP
3100 Channing Way,
Idaho Falls, ID 83404-7533
(208) 535-4432
Not Available

Map and Direction




Provider's Profile

Full NameAlexis R Siddoway
GenderFemale
SpecialityNurse Practitioner - Neonatal
Location3100 Channing Way, Idaho Falls, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013352285
  • Provider Enumeration Date: 05/01/2013
  • Last Update Date: 10/26/2013

Medical Identifiers

Medical identifiers for Alexis R Siddoway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013352285NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse N37740 (Idaho)Secondary
363LN0000XNurse Practitioner - Neonatal NP1309A (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alexis R Siddoway is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Alexis R Siddoway, NP
2860 Sunlight Dr,
Idaho Falls, ID 83401-4807

Ph: (208) 681-7399
Alexis R Siddoway, NP
3100 Channing Way,
Idaho Falls, ID 83404-7533

Ph: (208) 535-4432

Reviews and Comments


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