Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIMITRI SHCHADENKO, FNP
Active Sole ProprietorDIMITRI SHCHADENKO, FNP is a Nurse Practitioner healthcare provider located in IDAHO FALLS, Idaho. NPI 1104489343 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1104489343
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2019 (7.3546444021466 yrs)
- Last Updated
- Jul 15, 2025
- Licenses
-
95010927 (CA)67946 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2065 E 17TH ST STE AIDAHO FALLS, ID, 834048042Browse ID providers · Browse ZIP 83404
- Phone
- 8006403451
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| MS. JANET SUSAN GARLAND | MSN, FNP, CANP | 1417957176 |
| MRS. LEEANNE B SHERWIN | MS, APRN-BC | 1043279771 |
| EMILY NEWBERRY | NP | 1285677757 |
| MS. SALLY KUPCHOCK | NP | 1063446094 |
| DEBORAH HILL | P.N.P. | 1821016015 |
| LORI C MILLER | CNP | 1487723854 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.