Alexis Carlson

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1586 N 845 E
Shelley, ID 83274-1054

Phone

(208) 313-5675

NPI assigned

Jun 1, 2024

Last updated

Aug 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1717200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1720829112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1586 N 845 E",
            "city": "SHELLEY",
            "state": "ID",
            "postal_code": "832741054",
            "telephone_number": "208-313-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1586 N 845 E",
            "city": "SHELLEY",
            "state": "ID",
            "postal_code": "832741054",
            "telephone_number": "208-313-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-01",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Ryleigh Brandt, DPT, PT
• Broulim Supermarkets, LLC (Broulim's Pharmacy #9 - Shelley)
• Chrystal Dawn Browning, PT, DPT, PCS
• Bryce D Hanson, DMD PA (River Valley Dental Care)
• Maria Magdalena Camacho, LCSW
• Curtis W Carpenter, D.D.S.
• Kristee K. Criddle, LISW
• Cruz Therapy Services (Shelley Physical Therapy & Fitness Center)
• Joel Cruz, PT
• Shane Darnell

• Physician Assistant in Shelley, ID
• Providers in Shelley, ID by specialty
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.