Beverly Krichbaum

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

6807 Cody St
Bonners Ferry, ID 83805-8613

Phone

(208) 267-0900

Fax

(208) 267-6100

NPI assigned

Dec 5, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Beverly Candelario Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1083577019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 TALL TIMBER RD",
            "city": "MOYIE SPRINGS",
            "state": "ID",
            "postal_code": "838455400",
            "telephone_number": "208-267-0900",
            "fax_number": "208-267-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6807 CODY ST",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838058613",
            "telephone_number": "208-267-0900",
            "fax_number": "208-267-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRICHBAUM",
        "first_name": "BEVERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-05",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "CANDELARIO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joshua Allen Kaufmann, DPT
• Rebecca D Kemp, PA-C
• Mona Kim-Brown, LCPC
• Christopher Michael Kolobow, NP-C
• Kootenai Tribe of Idaho
• Scott Lacefield, PA-C
• Katie Marie Larson
• Laura Jean Lata, N.P.
• Jordan Thomas Lauby, PA-C
• Susan J Layeux, MD

• Case Manager/Care Coordinator in Bonners Ferry, ID
• Providers in Bonners Ferry, ID by specialty
• Case Manager/Care Coordinator in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.