IndividualActive
Angharad Lyon, PA-C
NPI 1164596128 · Student in an Organized Health Care Education/Training Program · Pocatello, ID
Provider details
- NPI number
- 1164596128
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA-365 (ID)
Specialties & taxonomies
Student, Health Care
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Isu Student Health Ctr
921 S. 8th St.
Pocatello, ID 83209-0001
Phone: (208) 282-2330
Fax: (208) 282-4036
Approximate (ZIP-level) locationGet directions
Mailing address
69 Foothill Blvd
Pocatello, ID 83204-4063
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.