OrganizationActive
Neonatal Associates, PLLC
NPI 1790939056 · Neonatal-Perinatal Medicine Physician · Idaho Falls, ID
Provider details
- NPI number
- 1790939056
- Entity type
- Organization
- Primary specialty
- Neonatal-Perinatal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shannon Jenkins, Manager(208) 529-7165
- License
- 0-0424 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
3100 Channing Way
Idaho Falls, ID 83404-7533
Phone: (208) 529-7165
Street-level locationGet directions
Mailing address
3270 E 17th St # 207
Ammon, ID 83406-6758
Registry dates
- Enumerated
- 2008-11-12
- Last updated
- 2008-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.