Precision Family Medicine & Aesthetics LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PRECISION FAMILY MEDICINE & AESTHETICS LLC

Practice address

2001 S Woodruff Ave Ste 4
Idaho Falls, ID 83404-6371

Phone

(208) 419-3271

Fax

(833) 449-4588

NPI assigned

Aug 7, 2022

Last updated

Sep 17, 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

Bradley Radford, FNP-BCNPI 1871191254

Title

FNP/Provider

Phone

(208) 419-3271

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Bradley Radford, FNP-BC

  • Primary Care Nurse Practitioner
  • Idaho Falls, ID
  • NPI 1871191254
  Medicare reassignment Care Compare group NPD Authorized official
• Amber Keck, APRN - CNP

  • Family Nurse Practitioner
  • Idaho Falls, ID
  • NPI 1023820909
  Medicare reassignment Care Compare group NPD
• Lynne J. Trauntvein, NP

  • Family Nurse Practitioner
  • Idaho Falls, ID
  • NPI 1558624601
  Medicare reassignment NPD
• Richard Alan Blatter, D.O.

  • Urology Physician
  • Idaho Falls, ID
  • NPI 1154682565
  NPD
• Salina Thetford

  • Family Nurse Practitioner
  • Idaho Falls, ID
  • NPI 1023837390
  NPD
• Peter M Cannon, M.D.

  • Urology Physician
  • Idaho Falls, ID
  • NPI 1326032939
  NPD (past)

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

{
    "created_epoch": "1659830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1760119986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S WOODRUFF AVE STE 4",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046371",
            "telephone_number": "208-419-3271",
            "fax_number": "833-449-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S WOODRUFF AVE STE 4",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046371",
            "telephone_number": "208-419-3271",
            "fax_number": "833-449-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION FAMILY MEDICINE & AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-07",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "RADFORD",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "FNP/PROVIDER",
        "authorized_official_telephone_number": "208-419-3271",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Kay Powell
• Tara Powell, PA-C
• Powers Counseling, PLLC
• Suzanne Taylor Powers, LCSW
• Praxair Healthcare Services, Inc.
• Precision Medical Care LLC
• Stephen R Preece, M.D.
• Premier Eye Care of Eastern Idaho
• Premium Choice Homecare
• Prescription Center Home Care, LLC

• Primary Care Clinic/Center in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Primary Care Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.