Carrie Silva, CNIM, REEGT, RPSGT

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

5050

Practice address

246 N Curlew Dr Apt 9301
Ammon, ID 83401-1530

Phone

(208) 305-1233

NPI assigned

May 8, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Carrie Utke Former 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": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1306536925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 YELLOWSTONE AVE # 191",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014312",
            "telephone_number": "208-305-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 N CURLEW DR APT 9301",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834011530",
            "telephone_number": "208-305-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "CARRIE",
        "credential": "CNIM, REEGT, RPSGT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": null,
            "license": "7256",
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": "5050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "UTKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benjerman Shay, PHARMD
• Amanda Sherry, BA
• Merilee Shively, BS
• Joseph Shumate, RECOVERY COACH
• Signature Hospice & Palliative Care
• Saul Alejandro Silva
• Isac Phil Simpson, D.O.
• Janadell Skidmore, LMSW, ICADC
• Megan Diane Slusher, B.S.
• Smith Clinic P a

• Electroneurodiagnostic Specialist/Technologist in Ammon, ID
• Providers in Ammon, ID by specialty
• Electroneurodiagnostic Specialist/Technologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.