Individual provider Active NPI

Lindsay Venn, R.D.L.D., PA-C

  • Medical Physician Assistant
  • Idaho Falls, ID
National Provider Identifier
1467770792
Registry record updated Aug 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
3320 S 25TH E
Idaho Falls, ID 83404
Phone
(208) 656-1500
NPI assigned
May 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X D-341 ID
Pediatrics Physician 208000000X PA-1502 ID
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

3320 S 25TH E
Idaho Falls, ID 83404

Mailing address

3320 S 25TH E
Idaho Falls, ID 83404-4606
Phone (208) 656-1500

Other practice location 1

3614 Washington Pkwy
Idaho Falls, ID 83404-7573
Phone (208) 535-4343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170907002921 ID Practitioner - Physician Assistant 9436422797 Reassigns benefits to 4 organizations
I20220520000728 UT Practitioner - Physician Assistant 9436422797 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
D-341IDMDRegistered Dietitian
PA-1502IDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Provider Group CurrentSince Mar 1, 2024 Accepting new patients
Sterling Provider Group CurrentSince Mar 1, 2024 Accepting new patients
Mountain View Hospital LLC CurrentSince Jul 1, 2018 Accepting new patients
Urgent Care Associates PLLC Current Accepting new patients

Locations

3614 Washington Pkwy
Idaho Falls, ID 83404
Phone (208) 535-4343

3155 Channing Way
Idaho Falls, ID 83404
Phone (801) 699-6344

3320 S 25th E
Idaho Falls, ID 83404
Phone (208) 656-1500

740 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 542-9111

187 E 13th St
Idaho Falls, ID 83404
Phone (208) 497-0500

2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785628800000",
    "number": "1467770792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 S 25TH E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044606",
            "telephone_number": "208-656-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 S 25TH E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83404",
            "telephone_number": "208-656-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3614 Washington Pkwy",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834047573",
            "country_code": "US",
            "telephone_number": "208-535-4343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENN",
        "first_name": "LINDSAY",
        "credential": "R.D.L.D., PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-11",
        "last_updated": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ID",
            "license": "D-341",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ID",
            "license": "PA-1502",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.