Individual provider · Type 1 NPI

Krysta Nicole Carlson, PA-C

Physician Assistant · Homedale, ID

NPI number 1740698356 Active

Practice location

108 E Idaho Ave
Homedale, ID 83628-5003

Fax (208) 466-5359

Mailing address

PO Box 9
Nampa, ID 83653-0009

Other practice locations

  • 1000 Newbury Rd, Newbury Park, CA 91320-6435 · (805) 498-3640

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA51782 (CA)
Physician Assistant Primary 363A00000X5081403 (ID)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

4 other providers at this address

About NPI 1740698356

Krysta Nicole Carlson, PA-C's National Provider Identifier is 1740698356, issued on Jul 27, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Homedale, ID. The record was last updated on Jun 5, 2026.