Kelly Laine Brookshier
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Pocatello, ID
NPI 1336078773 · NPPES record last updated May 13, 2026
Key facts
- NPI
- 1336078773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 921 S 8TH Ave Stop 8253
Pocatello, ID 83209-0002 - Phone
- (208) 282-4726
- NPI assigned
- May 13, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | E3855819 | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
921 S 8TH Ave Stop 8253
Pocatello, ID 83209-0002
Mailing address
921 S 8TH Ave Stop 8253
Pocatello, ID 83209-0002
Phone (208) 282-4726
Other providers in Pocatello, ID
- David Paul Brizzee
- Brandon H. Broadhead
- Jeff E Brockett
- Broncho Mental Health
- Maura Bronson
- Brady Victor Brower
- Albert Brown
- Andrea Brown
- Caroline Olivia Brown
- Cherisse Brown
All providers in Pocatello, ID · Student in an Organized Health Care Education/Training Program in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.