Active NPI
Elizabeth H. Cameron, C.N.P.
- Primary Care Nurse Practitioner
- Idaho Falls, ID
National Provider Identifier
1285732578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- NP 676-A
- Practice address
- 1975 Martha Ave Ste B
Idaho Falls, ID 83404-7580 - Phone
- (208) 932-4475
- Fax
- (208) 330-0664
- NPI assigned
- Sep 20, 2006
- Last updated
- Dec 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP 676-A | ID | |
| Primary Care Nurse Practitioner | 363LP2300X | NP 676-A | ID | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | NP 676-A | ID | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | NP 676-A | ID |
Addresses
Primary practice location
1975 Martha Ave Ste B
Idaho Falls, ID 83404-7580
Mailing address
1975 Martha Ave Ste B
Idaho Falls, ID 83404-7580
Phone (208) 932-4475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807281300 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP 676-A | ID | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766966400000",
"number": "1285732578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1975 MARTHA AVE STE B",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047580",
"telephone_number": "208-932-4475",
"fax_number": "208-330-0664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1975 MARTHA AVE STE B",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047580",
"telephone_number": "208-932-4475",
"fax_number": "208-330-0664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERON",
"first_name": "ELIZABETH",
"middle_name": "H.",
"name_prefix": "Miss",
"credential": "C.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2025-12-29",
"certification_date": "2025-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "NP 676-A",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "ID",
"license": "NP 676-A",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "ID",
"license": "NP 676-A",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "ID",
"license": "NP 676-A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807281300",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.