Regents of the University of Idaho

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

REGENTS OF THE UNIVERSITY OF IDAHO

Doing business as

Vandal Health Clinic

Practice address

875 Perimeter Dr # Ms 4201
Moscow, ID 83844-9803

Phone

(208) 885-6693

Fax

(208) 885-0512

NPI assigned

Mar 2, 2018

Last updated

Mar 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aaron Papin

Title

Ehr and Policy Manager

Phone

(208) 885-6693

Specialties & licenses 1

Addresses

Other names 1

• Vandal Health Clinic Doing business as

Tax ID family

CDHD Behavioral Consultants4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Regents of the University of Idaho Child & Youth Study Center

  dba Child & Youth Study Center

  • Clinical Child & Adolescent Psychologist
  • Moscow, ID
  • NPI 1609902980
  NPD tax ID
• University of Idaho

  dba CDHD/Idaho Assistive Technology Project

  • Durable Medical Equipment & Medical Supplies
  • Moscow, ID
  • NPI 1407976798
  NPD tax ID
• University of Idaho

  dba CDHD Behavioral Consultants

  • Community/Behavioral Health Agency
  • Moscow, ID
  • NPI 1649390998
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sheila Lynn Price, FNP-C

  • Family Nurse Practitioner
  • Moscow, ID
  • NPI 1457890162
  NPD
• Megan Renae Shifflett, ATC

  • Athletic Trainer
  • Moscow, ID
  • NPI 1700284262
  NPD (past)
• Ryan Tobias Van Amerongen, MA, ATC, LAT

  • Athletic Trainer
  • Moscow, ID
  • NPI 1821024233
  NPD (past)
• Christopher John Walsh Jr.

  • Athletic Trainer
  • Moscow, ID
  • NPI 1922529544
  NPD (past)
• Charla Rae Willis, MD

  • Internal Medicine Physician
  • Lewiston, ID
  • NPI 1497846091
  NPD (past)

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1548762867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 PERIMETER DR # MS 4201",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838449803",
            "telephone_number": "208-885-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 PERIMETER DR # MS 4201",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838449803",
            "telephone_number": "208-885-6693",
            "fax_number": "208-885-0512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "831 Ash St",
            "address_purpose": "LOCATION",
            "city": "Moscow",
            "state": "ID",
            "postal_code": "838449803",
            "country_code": "US",
            "telephone_number": "208-885-2210",
            "fax_number": "208-885-1002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF IDAHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-02",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "PAPIN",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "EHR AND POLICY MANAGER",
        "authorized_official_telephone_number": "208-885-6693"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vandal Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Jean Rardin, MA/CCC
• Joel Wayne Rardin, DPT
• Ann L Raymer, D.C.
• Ashley Reeves
• Nicholas L Refvem, ATC
• Regents of the University of Idaho Child & Youth Study Center (Child & Youth Study Center)
• Timothy Scott Rehnberg, PH.D.
• Christin S Reisenauer, MD
• Steven C Reitz, CRNA
• Chris Palmer Renggli

• General Practice Physician in Moscow, ID
• Providers in Moscow, ID by specialty
• General Practice Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.