Shanda Andrus
Individual provider Active NPI Case Manager/Care Coordinator · Idaho Falls, ID
NPI 1831069772 · NPPES record last updated Nov 6, 2025
Key facts
- NPI
- 1831069772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 855 N Capital Ave Ste 1
Idaho Falls, ID 83402-3405 - Phone
- (208) 552-0855
- NPI assigned
- Nov 6, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | ID | Yes |
Addresses
Primary practice location
855 N Capital Ave Ste 1
Idaho Falls, ID 83402-3405
Mailing address
855 N Capital Ave Ste 1
Idaho Falls, ID 83402-3405
Phone (208) 552-0855
Other providers in Idaho Falls, ID
- Taylor K Anderson
- Whitney C Anderson
- Andre'S House
- Andrew L McCall DPM PA
- Angela Dawn Andrus
- Angel Wings Center of Healing
- Angel Wings Center of Healing
- Marisol Ramirez Angeles
- Frank R Angelo
- Angels Touch Hospice Inc
All providers in Idaho Falls, ID · Case Manager/Care Coordinator in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.