Individual provider Active NPI

Karrie Rae Kondel, ARNP

  • Family Nurse Practitioner
  • Burley, ID
National Provider Identifier
1124506191
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
59307 Issued in ID
Practice address
1309 Bennett Ave
Burley, ID 83318-2676
Phone
(208) 678-7796
Fax
(360) 838-2450
NPI assigned
Aug 1, 2018
Last updated
Mar 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AP60883009 WA
Family Nurse Practitioner 363LF0000X 59307 ID Primary

Addresses

Primary practice location

1309 Bennett Ave
Burley, ID 83318-2676

Mailing address

794 Eastland Dr
Twin Falls, ID 83301-6856
Phone (208) 737-6718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210427002026 ID Practitioner - Nurse Practitioner 5193076867 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
59307IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Services Corporation Family Medicine Current Accepting new patients
Family Health Services Corporation Family Medicine Current Accepting new patients
Family Health Services Corporation Family Medicine Current Accepting new patients
Family Health Services Corporation Family Medicine CurrentSince Apr 6, 2021 Accepting new patients
Family Health Services Corporation Family Medicine Current Accepting new patients
Family Health Services Corporation CurrentSince Apr 6, 2021 Accepting new patients
Mobilehealthcareprovidersnorthwest PastSince Feb 1, 2022 Accepting new patients

Locations

725 Fair St
Buhl, ID 83316
Phone (208) 543-8271

1309 Bennett Ave
Burley, ID 83318
Phone (208) 677-5198

218 W Nez Perce
Jerome, ID 83338
Phone (208) 324-3471

402 6th St
Rupert, ID 83350
Phone (208) 650-7941

325 Martin St
Twin Falls, ID 83301
Phone (208) 732-7101

388 Martin St
Twin Falls, ID 83301
Phone (208) 734-0451

794 Eastland Dr
Twin Falls, ID 83301
Phone (208) 734-3312

Interoperability endpoints

  • Direct secure messaging: karrie.kondel.p1@direct.fhsid.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1124506191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 EASTLAND DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016856",
            "telephone_number": "208-737-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 BENNETT AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182676",
            "telephone_number": "208-678-7796",
            "fax_number": "360-838-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDEL",
        "first_name": "KARRIE",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "AP60883009",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "59307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burley, ID

Sources for this page

Verify at the official NPI Registry.