Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John Laurent Etcheto, PA

Individual provider Physician Assistant · NPI 1073547113

John Laurent Etcheto, PA is a Physician Assistant in Twin Falls, Idaho. Qualified in 2007, 19 years ago. Practices with Sipi Clinic LLC, a 6-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
19
Licensed in
ID
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

176 Falls Ave
Twin Falls, ID 83301
Phone: (208) 733-3181
Fax: (208) 733-3168
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 260 2nd Avenue East, Twin Falls, ID 83301 — (208) 732-0959

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-476 (ID)

Record details

NPI number1073547113
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 11, 2006
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Sipi Clinic Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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