Skinlab 360 Dermatology & Aesthetics LLC
NPI 1376125740 · Physician Assistant · Rexburg, ID
Skinlab 360 Dermatology & Aesthetics LLC is a Physician Assistant organization in Rexburg, ID (NPI 1376125740).
Provider details
- NPI number
- 1376125740
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Julie Anderson, Owner(208) 709-0478
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Mailing address
Registry dates
- Enumerated
- 2021-04-26
- Last updated
- 2021-04-26
- Certified
- 2021-04-26
Frequently asked questions
- What is Skinlab 360 Dermatology & Aesthetics LLC's NPI number?
- Skinlab 360 Dermatology & Aesthetics LLC's National Provider Identifier (NPI) is 1376125740, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Skinlab 360 Dermatology & Aesthetics LLC?
- Skinlab 360 Dermatology & Aesthetics LLC is classified in the NPPES registry as Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Skinlab 360 Dermatology & Aesthetics LLC located?
- Skinlab 360 Dermatology & Aesthetics LLC's practice location on file with NPPES is 117 W Main St Ste 101, Rexburg, ID 83440-1826.
- What is Skinlab 360 Dermatology & Aesthetics LLC's phone number?
- The practice phone number listed in the NPPES registry for Skinlab 360 Dermatology & Aesthetics LLC is (208) 709-0478.
- Who is the authorized official for Skinlab 360 Dermatology & Aesthetics LLC?
- The authorized official listed on Skinlab 360 Dermatology & Aesthetics LLC's NPPES record is Julie Anderson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Skinlab 360 Dermatology & Aesthetics LLC's NPI active?
- Yes — Skinlab 360 Dermatology & Aesthetics LLC's NPI (1376125740) is active in the NPPES registry as of the last update on 2021-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.