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

Shawna Marie Reynolds, PA

Individual provider Medical Physician Assistant · NPI 1023260783

Shawna Marie Reynolds, PA is a Medical Physician Assistant in Blackfoot, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008
Specialties on file
2
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

1441 Parkway Dr
Blackfoot, ID 83221-0000
Phone: (208) 785-2600
Fax: (208) 785-1762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA778 (ID)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA-778 (ID)

Record details

NPI number1023260783
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 14, 2008
Last updated in NPPESApril 23, 2012

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